对比
de Winter综合征（OMI等危症） vs 典型ST段抬高型心肌梗死（透壁性）: 临床与心电图鉴别
基于MioAtlas 3D心脏模拟器模型的de Winter综合征（OMI等危症）与典型ST段抬高型心肌梗死（透壁性）横向对比。
按解剖生理分层与诊断参数列出的表现
| 层面 / 表现 | de Winter综合征（OMI等危症） | 典型ST段抬高型心肌梗死（透壁性） |
|---|---|---|
| 临床概要 |
胸前导联（V1-V6）J点压低1至3 mm，紧接着向上斜升移行至高大、尖锐、对称的超急性T波，同时aVR导联ST段抬高（0.5至1 mm）。提示LAD近端严重次全闭塞。 |
典型的透壁性心外膜损伤模式，表现为ST段呈弓背向上抬高，并在相反导联伴对应性改变。 |
文献来源与参考文献
de Winter综合征（OMI等危症）
- Wagner GS, Macfarlane P, Wellens H, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction . Circulation (2009) . DOI: 10.1161/CIRCULATIONAHA.108.191098
- Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
- Rao SV, O'Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes . Circulation (2025) . DOI: 10.1161/CIR.0000000000001309 PubMed: 40014670
典型ST段抬高型心肌梗死（透壁性）
- Wagner GS, Macfarlane P, Wellens H, et al. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: Part VI: Acute ischemia/infarction . Circulation (2009) . DOI: 10.1161/CIRCULATIONAHA.108.191098
- Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018) . Eur Heart J (2019) . DOI: 10.1093/eurheartj/ehy462
- Rao SV, O'Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes . Circulation (2025) . DOI: 10.1161/CIR.0000000000001309 PubMed: 40014670