case_images: PMC6524423_01
case_images: Upsloping ST depression at J point in the inferior lead (de Winter sign) (red arrow) with positive T wave (yellow arrow) along with minimal ST elevation in aVR (black arrow)
case_images: HV-20-25-g001.jpg
case_images: PMC6524423_01_HV-20-25-g001.jpg
case_images: F1
case_images: At the time of presentation, his pulse rate was 48/min and systolic blood pressure was 90 mmHg. 12-lead ECG was obtained [Figure 1] that showed upsloping ST depression at J point in II, III, and aVF with positive T wave along with minimal ST elevation in aVR.
case_images: (a) 99% thrombotic occlusion seen in the mid right coronary artery. (b) After placement of drug-eluting stent
case_images: HV-20-25-g002.jpg
case_images: PMC6524423_01_HV-20-25-g002.jpg
case_images: F2
case_images: Coronary angioplasty was done with sirolimus-eluting stent (3 mm x 20 mm) [Figure 2].
case_images: ST elevation was not noted in serial electrocardiography. Post-post angioplasty resolution of De Winter pattern in inferior leads
case_images: HV-20-25-g003.jpg
case_images: PMC6524423_01_HV-20-25-g003.jpg
case_images: F3
case_images: There was complete pain resolution after angioplasty with normalization of ST segment in all leads [Figure 3].