关键词: 心肌梗死, de Winter, 急性病, 心电描记术, 冠状动脉闭塞

Abstract: The de Winter electrocardiogram（ECG） pattern is considered as the ECG manifestation for acute ST-segment elevation myocardial infarction （STEMI），based on the evidence of clinical coronary angiography suggested severe proximal stenosis or complete occlusion of the anterior descending branch，and its intrinsic relationship with the typical four-stage ECG findings of STEMI is not clear.In this paper，we analyzed the changes on the ECGs with de Winter pattern of a case of acute STEMI during the whole period of treatment，and reviewed relevant studies，then assessed the relationship between acute STEMI and de Winter ECG，in order to provide new ideas for the further understanding of de Winter ECG.

Key words: Myocardial infarction, de Winter, Acute disease, Electrocardiography, Coronary occlusion