de Winter心电图改变的认知及进展  

Cognition and progress of de Winter electrocardiogram pattern

作　　者：王爱华 徐静 陈紫君[3] WANG Aihua;XU Jing;CHEN Zijun(Department of Critical Care Medicine,Chongqing Yongchuan District People's Hospital,Chongqing 402160;Department of Color Ultra Room,Mianyang Central Hospital,Mianyang Sichuan 621000;Department of Cardiology,Yongchuan Hospital of Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆市永川区人民医院重症监护室,重庆402160 [2]绵阳市中心医院彩超室,四川绵阳621000 [3]重庆医科大学附属永川医院心内科,重庆402160

出　　处：《中南大学学报（医学版）》2021年第4期421-425,共5页Journal of Central South University ：Medical Science

摘　　要：de Winter心电图改变是急性ST段抬高型心肌梗死的一种等危症,但该心电图改变容易被临床医师忽视。急性胸痛患者出现de Winter心电图表现,多数提示前降支或对角支次全或者完全闭塞。一旦发现这类心电图表现的急性胸痛患者,应立即行急诊冠状动脉造影以明确冠状动脉状况,尽早行再灌注治疗,以降低不良心血管事件的发生。The de Winter electrocardiogram pattern is an acute ST-segment elevation myocardial infarction equivalent,however this specific electrocardiogram change is easily ignored by clinicians.The de Winter electrocardiogram pattern in patients with acute chest pain mostly indicates sub-complete or complete occlusion of the left anterior descending or the diagonal branch.Patients with acute chest pain and such electrocardiographic finding should undergo emergency coronary angiography immediately to determine the coronary condition,and reperfusion therapy should be performed as soon as possible to reduce the incidence of adverse cardiovascular events.

关 键 词：de Winter心电图改变 ST段抬高型心肌梗死 经皮冠状动脉介入治疗 

分 类 号：R542.22[医药卫生—心血管疾病] R540.41[医药卫生—内科学]