de Winter综合征5例病例特点分析及预后随访  

Characteristics and follow-up data of 5 cases with de Winter syndrome

作　　者：苏云娟 韩晓涛 王京京 卢利红 刘海燕 任雯雯 陈永福 吴其明 SU Yunjuan;HAN Xiaotao;WANG Jingjing;LU Lihong;LIU Haiyan;REN Wenwen;CHEN Yongfu;WU Qiming(Department of Cardiology,Beijing Ditan Hospital,Capital Medical University,Beijing,100015,China;Center of Liver Diseases,Beijing Ditan Hospital,Capital Medical University,Beijing,100015,China)

机构地区：[1]首都医科大学附属北京地坛医院心内科,北京100015 [2]首都医科大学附属北京地坛医院肝病一科

出　　处：《临床心血管病杂志》2021年第3期286-288,共3页Journal of Clinical Cardiology

摘　　要：1病例资料5例患者均为男性,平均年龄42.4岁,其中4例行急诊PCI;5例均患有高脂血症,4例长期大量吸烟,4例体重过重,1例肥胖,1例合并糖尿病;5例患者TIMI评分均为低、中危(表1)。5例患者均符合de Winter综合征心电图表现(图1~5)。2例冠状动脉(冠脉)造影结果为左前降支(LAD)近段完全闭塞(图6、7),1例第二对角支(D2)闭塞(图8),2例LAD狭窄95%,病变处可见血栓影(图9、10),均未累及左主干。All five patients with de Winter syndrome underwent percutaneous coronary intervention,followed up for 18-24 months,and showed a good prognosis.The characteristics and follow-up data indicate that patients with non-ST-segment elevation myocardial infarction and acute chest pain whose ECG were consistent with de Winter syndrome should be considered as STEMI patients.These features often imply complete or subtotal occlusion of the proximal left anterior descending branch.

关 键 词：de Winter综合征 ST段抬高型心肌梗死 急诊PCI 

分 类 号：R541.4[医药卫生—心血管疾病]