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De Winter’s wave
  1. Oscar Thabouillot1,
  2. François Bouvier2,
  3. Nicolas-Charles Roche2
  1. 1 Department of Emergency, Hopital d’Instruction des Armees Bégin, Saint-Mandé, France
  2. 2 Department of Cardiology, Hopital d’Instruction des Armees Bégin, Saint Mandé, France
  1. Correspondence to Dr Oscar Thabouillot, Department of Emergency, Hopital d’Instruction des Armees Bégin, 69 avenue de Paris, Saint-Mandé 94160, France; thabouillot{at}

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Clinical introduction

A 45-year-old man was admitted to the ED because of an acute retrosternal chest pain which prolonged for 20 min. He was overweight and a regular smoker. When admitted the pain had disappeared and the physical examination remained normal. The ECG was normal (figure 1). The ultrasensitive T troponin remained negative (H0 and H+3). He was treated for a non-ST elevation myocardial infarction and transferred …

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  • Contributors All the three authors wrote the case.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.