{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T15:37:54Z","timestamp":1780673874712,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The de Winter ECG pattern was described by upsloping ST\u2010segment depression in leads V1\u2010V6, tall and symmetrical T waves in precordial leads. The ECG pattern is regarded to be associated with occlusion of the left anterior descending (LAD) artery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One patient with de Winter ECG pattern was included. The 12\u2010lead ECG of patients with chest pain showed upsloping ST\u2010segment depression up to 3\u2009mm at the J point in leads V2\u2010V6; tall symmetrical T waves in leads V2\u2010V4; 1mm J point elevation in lead aVR; ST\u2010segment depression 1mm in I, aVL leads and inverted T waves in the inferior leads. The ECG was showed the de Winter pattern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The ECG was showed the de Winter pattern. CAG was performed, which showed the normal left main; 60%\u201080% LAD stenosis; 50%\u201060% ostial right coronary artery(RCA) stenosis; and 90% stenosis of the vessel at middle segment. Both proximal and middle RCA vascular lesions were dilated and successfully inserted with drug\u2010eluting stents, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our case the ECG was showed horizontal ST depression with tall T waves in leads V2\u2010V4 (maximal ST depression in lead V4) while only ST depression in leads V5\u2010V6, which may result from multivessel disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12984","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T08:44:33Z","timestamp":1656578673000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The De Winter\u2010like electrocardiogram pattern associated with multi\u2010vessel disease"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9665-6087","authenticated-orcid":false,"given":"Chunfang","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiology Binzhou Medical University Hospital  Binzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongli","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Binzhou Medical University Hospital  Binzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5974-2602","authenticated-orcid":false,"given":"Jian","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Binzhou Medical University Hospital  Binzhou City China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12946"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1408758"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc0804737"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2020.06.027"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.24875\/ACM.2000038"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13711"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/HEARTVIEWS.HEARTVIEWS_4_19"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12855"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJY19M0101"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0807611"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12915"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1803538"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520927209"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12783"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12984","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.12984","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12984","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T13:46:15Z","timestamp":1692625575000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.12984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,30]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/anec.12984"],"URL":"https:\/\/doi.org\/10.1111\/anec.12984","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"value":"1082-720X","type":"print"},{"value":"1542-474X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,30]]},"assertion":[{"value":"2022-05-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12984"}}