[1]张慧,邓根群.de Winter综合征附11例分析[J].心血管病学进展,2019,(6):967-969.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.031]
　ZHANG Hui,DENG Genqun.de Winter Syndrome with Eleven Cases Studies[J].Advances in Cardiovascular Diseases,2019,(6):967-969.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.031]
点击复制

de Winter综合征附11例分析()
分享到：

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年6期
页码:
967-969
栏目:
论著
出版日期:
2019-09-25

文章信息/Info

Title:
de Winter Syndrome with Eleven Cases Studies
作者:
张慧;  邓根群
(大连市中心医院心内科,辽宁 大连 116033)
Author(s):
ZHANG Hui; DENG Genqun
(Department of Cardiology Hospital,Dalian 116033,Liaoning,China)
关键词:
de Winter综合征; 治疗策略
Keywords:
de Winter’s syndrome; Treatment strategy; Percutaneous coronary intervention
DOI:
10.16806/j.cnki.issn.1004-3934.2019.06.031
摘要:
目的 探讨deinter心电图改变的心肌梗死发病率及治疗策略。方法 回顾性分析2012年9月2019年3月收治的急性前壁心肌梗死患者520例，筛选出出现de Winter综合征心电图改变患者，分析其临床特征。结果 共筛选出11例de Winte心电图改变患者，男9例，女2例，占2.1%，罪犯病变均为左前降支，成功行直接治疗。结论 de Winter综合征这类患者，典型ST段抬高的心电图表现但前降支急性闭塞，临床进展凶险，需直接治疗。
Abstract:
ObjectiveTo discuss the myocardial infarction incidence and treatment strategies of de Winter ECG changes. Methods The department were retrospectively analyzed 520 cases of patients with acute anterior wall myocardial infarction that treated from September 2012 to March 2019.The patients with de Winter syndrome ECG changes were selected to analyze their clinical features. Results A total of 11 patients with de Winter ECG changes were selected, including 9 cases of male and 2 cases of female, which accounted for 2.1%. The criminal lesions are left anterior descending branch that successfully by PCI therapy. Conclusion Such patients with de Winter syndrome have no typical ST-elevation of ECG findings but acute anterior descending branch occlusion,clinical progress in disaster, require direct PCI treatment.

参考文献/References:

[1] e Winter RJ,Verouden NJ,Wellens HJ,et al. A new ECG sign of proximal LAD occlusion[J]. N Engl J Med,2008,359(19):2071-2073.
[2] Verouden NJ,Koch KT,Peters RJ,et al. Persistent precordial “ hyperacute” T-waves signify proximal left anterior descending artery occlusion[J].Heart,2009,95(20):1701-1706.
[3] 向芝青安俊华王福军. de Winter ST-T改变和Wellnes综合征心电图改变交替出现一例[J]. 中国心脏起搏与心电生理杂志2016,30(1):93-94.
[4] 赵运涛. 被指南普遍忽略的危急心电图表现ST段上斜型压低伴T波高尖[J]. 心电图杂志电子版2014, 3(3):162-163.
[5] 薛刚陶亮亮王连生. 急性心肌梗死心电图de Winter STT改变1例并文献复习J]. 江苏医药2017,43(8):603-604.
[6] 徐萌萌姜龙冯娜娜等. de Winter综合征一例[J]. 中华心血管病杂志2018,46 (3):230-231.
[7] 陈健 Winter ST-T改变一例J]. 海南医学2017,28 (7):1196-1197.
[8] 刘元生. 冠心病心电图的特殊改变(de Winter征)[J]. 临床心电学杂志2017,26(1):1-3.
[9] Romero D,Ringborn M,Demidova M,et al. Characterization of ventricular depolarization and repolarization changes in a porcine model of myocardial infarction[J]. Physiol Meas,2012,33 (12):1975-1991.
[10] Selvaraj RJ,Suszko AM,Subramanian A,et al. Body surface projection of action potential duration alternans:a combined clinical-modeling study with implications for improving T-wave alternans detection[J]. Heart Rhythm,2009,6(8):1211-1219.
[11] Chaudhuri A,Janicke D,Wilson MF,et al. Anti-inflammatory and profibrinolytic effect of insulin in acute ST-segment-elevation myocardial infarction[J]. Circulation,2004,109 (7):849-854.
[12] Liu HW,Pan W,Wang LF,et al. Impact of emergency percutaneous coronary intervention on outcomes of ST-segment elevation myocardial infarction patients complicated by out-of-hospital cardiac arrest[J]. Chin Med J(Engl),2012,125 (8):1405-1409.
[13] Gorgels AP. ST-elevation and non-ST-elevation acute coronary syndromes:should the guidelines be changed?[J]. J Electrocardiol,2013,46(4):318-323.

相似文献/References:

[1]唐欣 罗素新.心房颤动合并 射血分数保留的心力衰竭的研究进展[J].心血管病学进展,2019,(5):753.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.022]
　TANG Xin,LUO Suxin.Atrial Fibrillation and Heart Failure with Preserved Ejection Fraction[J].Advances in Cardiovascular Diseases,2019,(6):753.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.022]
[2]董佳佳 于子翔 马依彤.冠状动脉慢性完全闭塞病变血运重建的治疗[J].心血管病学进展,2020,(8):794.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.003]
　DONG Jiajia,YU Zixiang,MA Yitong.Therapeutic Strategy of Revascularization in Patients with Chronic Complete Occlusion[J].Advances in Cardiovascular Diseases,2020,(6):794.[doi:10.16806/j.cnki.issn.1004-3934.2020.08.003]
[3]赵霄潇 颜红兵.三甲胺-N-氧化物在心血管相关疾病发病机制中的研究进展[J].心血管病学进展,2020,(11):1123.[doi:10.16806/j.cnki.issn.1004-3934.2020.11.000]
　Cardiovascular Related Diseases.Research Progress of Trimethylamine-N-oxide in Pathogenesis of[J].Advances in Cardiovascular Diseases,2020,(6):1123.[doi:10.16806/j.cnki.issn.1004-3934.2020.11.000]

备注/Memo

备注/Memo:
通讯作者：邓根群,E-mail：dgq1966@126.com收稿日期：2019-06-17
更新日期/Last Update: 2019-12-17