关于de Winter心电图改变的新认识  

New understanding on de Winter electrocardiogram patterns

作　　者：谷云飞 吴林[2] 刘彤[3] Gu Yunfei;Wu Lin;Liu Tong(Department of Cardiology,Luoyang Central Hospital Affiliated to Zhengzhou University,Cardiovascular and Cerebrovascular Disease Research Institute of Luoyang,Luoyang 471000,China;Department of Cardiology,Peking University First Hospital,Beijing 100034,China;Department of Cardiology,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]郑州大学附属洛阳中心医院心内科,洛阳市心脑血管病研究所,471000 [2]北京大学第一医院心内科,100034 [3]天津医科大学第二医院心内科,300211

出　　处：《中国心血管杂志》2021年第5期499-501,共3页Chinese Journal of Cardiovascular Medicine

摘　　要：急性冠状动脉综合征(ACS)根据患者发作时心电图有无ST段抬高,分为急性ST段抬高型心肌梗死(STEMI)和非ST段抬高型ACS(NSTE-ACS)。部分患者在冠状动脉急性闭塞时并不出现ST段抬高,而是呈现其他心电图异常,其中表现为前壁ST段上斜型压低伴T波高尖的心电图改变者,称为de Winter心电图改变。本文就de Winter心电图改变的最新认识作一综述。Acute coronary syndrome(ACS)is classified into acute ST-elevation myocardial infarction(STEMI)and non-ST-elevation ACS(NSTE-ACS)according to whether the ECG has ST-segment elevation at the time of the attack.Some patients do not have ST-segment elevation during acute coronary occlusion,but present other ECG abnormalities.Among them,the ECG changes with anterior ST-segment depression with high T wave are called de Winter ECG patterns.This article summarizes the latest understanding of de Winter’s electrocardiogram patterns.

关 键 词：de Winter心电图改变 急性冠状动脉综合征 前降支 

分 类 号：R540.41[医药卫生—心血管疾病] R541.4[医药卫生—内科学]