PMID- 34808022 OWN - NLM STAT- MEDLINE DCOM- 20220517 LR - 20220716 IS - 1542-474X (Electronic) IS - 1082-720X (Print) IS - 1082-720X (Linking) VI - 27 IP - 3 DP - 2022 May TI - Atypical de Winter ECG pattern may be the mirror image of ST elevation. PG - e12915 LID - 10.1111/anec.12915 [doi] LID - e12915 AB - The de Winter ECG pattern of ST-segment depression and tall symmetrical T waves, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending (LAD) coronary artery. The classic de Winter pattern is restricted to cases without ST elevation. However, mixed cases with different types of ST deviation have been described. Here, we describe an interesting case as an example of an ST elevation myocardial infarction (STEMI) equivalent, showing transient transmural ischemia of the inferolateral myocardium, with ECG changes that mimic the de Winter pattern. CI - (c) 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. FAU - Wang, Jian AU - Wang J AUID- ORCID: 0000-0002-5974-2602 AD - Department of Cardiology, Binzhou Medical University Hospital, Binzhou, China. FAU - Li, Jingsen AU - Li J AD - Department of Cardiology, Binzhou Medical University Hospital, Binzhou, China. FAU - Diao, Shuling AU - Diao S AD - Department of Cardiology, Binzhou Medical University Hospital, Binzhou, China. FAU - Xu, Huipu AU - Xu H AD - Department of Cardiology, Binzhou Medical University Hospital, Binzhou, China. FAU - Ding, Faming AU - Ding F AD - Department of Cardiology, Binzhou Medical University Hospital, Binzhou, China. LA - eng PT - Case Reports DEP - 20211122 PL - United States TA - Ann Noninvasive Electrocardiol JT - Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc JID - 9607443 SB - IM MH - Coronary Vessels MH - Electrocardiography/methods MH - Humans MH - *ST Elevation Myocardial Infarction/diagnostic imaging PMC - PMC9107089 OTO - NOTNLM OT - De Winter ECG pattern OT - ST elevation equivalent COIS- The authors declare no potential conflicts of interest. EDAT- 2021/11/23 06:00 MHDA- 2022/05/18 06:00 PMCR- 2021/11/22 CRDT- 2021/11/22 17:27 PHST- 2021/10/20 00:00 [revised] PHST- 2021/09/21 00:00 [received] PHST- 2021/11/01 00:00 [accepted] PHST- 2021/11/23 06:00 [pubmed] PHST- 2022/05/18 06:00 [medline] PHST- 2021/11/22 17:27 [entrez] PHST- 2021/11/22 00:00 [pmc-release] AID - ANEC12915 [pii] AID - 10.1111/anec.12915 [doi] PST - ppublish SO - Ann Noninvasive Electrocardiol. 2022 May;27(3):e12915. doi: 10.1111/anec.12915. Epub 2021 Nov 22.