Publication Name	World Journal of Cardiology
Manuscript ID	114561
Country	Qatar

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Systematic Reviews
Article Title	Phenomenon of “de Winter” pattern, sign, or syndrome: A systematic scoping review and data analysis
Manuscript Source	Invited Manuscript
All Author List	Eman Elmenyar, Mohammad Adeeb Abbara, Zeina Al-Ghoul, Wael Al Mahmeed, Başar Cander, Ahmed Shaaban Abdelrahman, Hassan Al-Thani and Ayman El-Menyar
Funding Agency and Grant Number
Corresponding Author	Ayman El-Menyar, Department of Surgery, Clinical Research, Hamad Medical Corporation, Al-Rayyan Street, Doha 3050, Qatar. aymanco65@yahoo.com
Key Words	Acute coronary syndrome; De Winter; Syndrome; Electrocardiographic pattern; ST-elevation myocardial infarction equivalent
Core Tip	The three forms of the de Winter (dW) phenomenon (dW pattern, dW sign, or syndrome) are used similarly in contemporary literature. This phenomenon has unique risk factors, pathophysiology, and angiographic characteristics. It should be managed as an indicator of ST-elevation myocardial infarction equivalent that requires urgent intervention. However, it is often underrecognized and therefore requires a high index of suspicion. Age and gender are associated with distinct culprit lesions and coronary artery involvement in this phenomenon. By integrating current evidence, prompt recognition and aggressive reperfusion strategies, such as those used in ST-elevation myocardial infarction protocols, are crucial for improving outcomes in this high-risk presentation.
Citation	Elmenyar E, Abbara MA, Al-Ghoul Z, Al Mahmeed W, Cander B, Abdelrahman AS, Al-Thani H, El-Menyar A. Phenomenon of “de Winter” pattern, sign, or syndrome: A systematic scoping review and data analysis. World J Cardiol 2025; In press

Received	2025-09-23 06:01
Peer-Review Started	2025-09-23 06:02
First Decision by Editorial Office Director	2025-10-10 09:03
Return for Revision	2025-10-10 09:03
Revised	2025-10-15 22:04
Publication Fee Transferred
Second Decision by Editor	2025-12-18 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-18 11:54
Articles in Press	2025-12-18 11:54
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
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