Comprehensive analysis of clinical features, electrocardiogram, and imaging in de Winter syndrome - Takeaways - MDSpire

Comprehensive analysis of clinical features, electrocardiogram, and imaging in de Winter syndrome

  • By

  • Miao Wang

  • Bao Chen

  • Lili Zhang

  • Wang Liao

  • Yingmei Chen

  • June 5, 2026

  • 0 min

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  • 1

    The study analyzed 105 patients diagnosed with de Winter syndrome, primarily focusing on clinical characteristics and ECG findings.

  • 2

    Chest pain was the predominant symptom in 98% of patients, with smoking and hypertension identified as the main risk factors.

  • 3

    The de Winter ECG pattern was most frequently observed in leads V4 and V3, with dynamic evolution noted in several cases.

  • 4

    Coronary angiography revealed lesions predominantly in the left anterior descending artery, with single-vessel disease being most common.

  • 5

    Complications during hospitalization occurred in 81.9% of patients, with acute heart failure being the most frequent major complication.

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