Young male with chest pain and abnormal T-waves


Submitted: 11 December 2019
Accepted: 28 February 2020
Published: 29 April 2020
Abstract Views: 835
PDF: 325
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Authors

Early recognition of ECG signs of acute coronary syndrome is essential for prompt treatment. But presentation with atypical ECG changes constitute a diagnostic challenge. We here report a case of 23-year-old male who presented with chest pain having atypical ECG changes with hyper-acute T waves called de Winters T wave. This is a rare presentation of patient with acute Left Anterior Descending artery occlusion. Some authors propose that de Winters pattern should be considered as “STEMI Equivalent”.


Lawner BJ, Nable JV, Mattu A. Novel patterns of ischemia and STEMI equivalents. Cardiol Clin. 2012 Nov;30(4):591–9. DOI: https://doi.org/10.1016/j.ccl.2012.07.002

De RW, Verouden NJ, Wellens HJ, Wilde AA. A new ECG sign of proximal LAD occlusion. N Engl J Med. 2008 Nov;359(19):2071–3. DOI: https://doi.org/10.1056/NEJMc0804737

Goebel M, Bledsoe J, Orford JL, et al. A new ST-segment elevation myocardial infarction equivalent pattern? Prominent T wave and J-point depression in the precordial leads associated with ST-segment elevation in lead aVr. Am J Emerg Med. 2014 Mar 1;32(3):287.e5-287.e8. DOI: https://doi.org/10.1016/j.ajem.2013.09.037

Verouden NJ, Koch KT, Peters RJ, et al. Persistent precordial “hyperacute” T-waves signify proximal left anterior descending artery occlusion. Heart Br Card Soc. 2009 Oct;95(20):1701–6. DOI: https://doi.org/10.1136/hrt.2009.174557

Thazhathidathil, A. V., Agrawal, N., & Mathew, R. (2020). Young male with chest pain and abnormal T-waves. Emergency Care Journal, 16(1). https://doi.org/10.4081/ecj.2020.8751

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