{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T16:43:45Z","timestamp":1726505025384},"reference-count":3,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T00:00:00Z","timestamp":1594771200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Case Presentation: We describe a case of an acute myocardial infarction with an atypical electrocardiogram showing a de Winter T-wave pattern suggesting the 100% proximal left anterior descending artery occlusion seen on emergent cardiac catheterization. \n\nDiscussion: Timely recognition of acute myocardial ischemia is paramount for emergency providers. As highlighted in this case, It is important to be mindful of atypical electrocardiogram findings, such as de Winter T-waves, which suggest acute myocardial ischemia.<\/jats:p>","DOI":"10.5811\/cpcem.2020.5.47322","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T13:23:18Z","timestamp":1597324998000},"page":"476-477","source":"Crossref","is-referenced-by-count":0,"title":["De Winter T-wave Pattern in Proximal Left Anterior Descending Artery Occlusion"],"prefix":"10.5811","volume":"4","author":[{"given":"David","family":"Gregory","sequence":"first","affiliation":[{"name":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Wexler","sequence":"additional","affiliation":[{"name":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent","family":"Becker","sequence":"additional","affiliation":[{"name":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,7,15]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"de Winter RJ, Verouden NJ, Wellens HJ, et al. A new ECG sign of proximal LAD occlusion. NEJM. 2008;359:2071-3.","DOI":"10.1056\/NEJMc0804737"},{"key":"ref1","unstructured":"Thygesen K, Alpert J, Jaffe A, et al. Fourth universal definition of myocardial infarction (2018). Circulation. 2018;138:e618-51."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Verouden NJ, Koch KT, Peters RJ, et al. Persistent precordial \u201chyperacute\u201d T-waves signify proximal left anterior descending artery occlusion. Heart. 2009;95(20):1701-6.","DOI":"10.1136\/hrt.2009.174557"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T15:17:12Z","timestamp":1600269432000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/2x83308h"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,15]]},"references-count":3,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,8,6]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.5.47322","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2020,7,15]]}}}