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"entidad" => "Departamento de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Departamento de Genética, Centro de Genética Cardiovascular, Institut d’Investigacions Biomèdiques de Girona (IDIBGI), Girona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Patrón de «De Winter» en el electrocardiograma: hay que correr" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1897 "Ancho" => 1333 "Tamanyo" => 277480 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present 2 case reports of anterior myocardial infarction due to anterior descending coronary artery obstruction (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B) with an unusual electrocardiographic pattern known as «De Winter».</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">In contrast to the morphology of peaked T waves observed in a hyperacute infarction, there is a J point depression in the precordial leads, with an ascending slope and prominent, positive and symmetrical T waves (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C and D).</p><p id="par0015" class="elsevierStylePara elsevierViewall">Not all acute coronary occlusion manifests with a persistent ST segment elevation, which can lead to a delayed diagnosis and therapy. Recognizing the electrocardiographic pattern of “De Winter” is crucial to indicate an immediate coronary reperfusion therapy, especially for healthcare professionals involved in assisting patients with acute chest pain (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>E and F).</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Fort A, Loma-Osorio P, Alcalde Ó, Brugada R. Patrón de «De Winter» en el electrocardiograma: hay que correr. Med Clin (Barc). 2019;152:166.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1897 "Ancho" => 1333 "Tamanyo" => 277480 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015200000004/v1_201902100719/S2387020618305813/v1_201902100719/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015200000004/v1_201902100719/S2387020618305813/v1_201902100719/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020618305813?idApp=UINPBA00004N" ]