Abstract：Objective To investigate the treatment strategy and prognosis of de Winter syndrome. Methods Retrospective analysis was performed on 261 patients with acute anterior wall myocardial infarction admitted in our hospital, and those with ECG changes of de Winter syndrome were selected to analyze the coronary angiographic results, treatment and prognosis. Results Five patients (accounting for 1. 9%) with acute anterior wall myocardial infarction consistent with ECG changes of de Winter syndrome are screened out, including 4 males and one female. The culprit vessel of the 5 patients are left anterior descending branch or diagonal branch, and all successfully treated by primary percutaneous coronary intervention. They are followed up 6 months after the surgery, and one patient suffers from postoperative angina pectoris while no cardiac insufficiency or sudden cardiac death is found.Conclusion As an equivalence of ST-segment elevation myocardial infarction in the criticality, de Winter syndrome requires for a timely and effective opening of the culprit vessels to realize a favourable prognosis.
戴芝银，姜瑜，袁伟，李卫东，李璇. de Winter 综合征5 例临床分析及预后[J]. 实用心电学杂志, 2022, 31(2): 118-121.
DAI Zhiyin, JIANG Yu, YUAN Wei,LI Weidong, LI Xuan. Clinical analysis and prognosis of 5 patients with de Winter syndrome. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2022, 31(2): 118-121.
