Abstract
Electrocardiogram (ECG) is the most readily available objective data
from patients, it contains a wealth of connotation, but rapid and
accurate identification of high risk ECG is still a challenge for most
practitioners. We present an interesting case with two types high risk
ECG patterns, de Winter like ECG pattern and J wave, which implied acute
occlusion of coronary artery and sudden cardiac death. The patient was
treated promptly and quickly (within 40 min, from first touch to
complete the operation), and the patient took a turn to be out of
danger.