Robbert de Winter

Robbert Jan de Winter (1958 – ) is a Dutch professor of cardiology.

Eponymously associated with de Winter T waves (2008), which describes an ECG sign of proximal left anterior descending artery occlusion.

He is a professor of clinical cardiology, with a special interest in acute coronary syndromes. Currently, he has published over 460 journal articles (11 000+ citations) on the pathophysiology, diagnoses, and treatment of coronary artery disease, with over 20 years of involvement in clinical trials.

Biography

• Born on August 23, 1958
• 1980 – Biophysics degree, University of Leiden, The Netherlands
• 1987 – MSc in Biophysics, University of Leiden, The Netherlands
• 1988 – Medical Degree, University of Amsterdam, The Netherlands
• 1988-90 – General internal medicine training, Spaarne Hospital, Haarlem, The Netherlands
• 1990-94 – Clinical cardiology training, Academic Medical Centre (AMC), Amsterdam, The Netherlands
• 1992 – Research fellow in laboratory and experimental internal medicine, AMC
• 1995 – Fellowship in interventional cardiology, AMC
• 1997 – PhD, University of Amsterdam, The Netherlands. Doctoral Thesis: “Biochemical and inflammatory markers of acute myocardial ischemia”.
• 2002 – Fellow of the European Society of Cardiology (ESC)
• 2008-present Professor of Clinical Cardiology, with a special emphasis on Acute Coronary Syndromes, at the Faculty of Medicine of the University of Amsterdam, The Netherlands.
• Editorial board, Netherlands Heart Journal and ESC Journal of Acute Cardiac Care

Medical Eponyms

de Winter T Waves (2008)

The de Winter ECG pattern is an anterior STEMI equivalent that presents without obvious ST segment elevation. First reported by first reported de Winter in 2008

• Key diagnostic features include ST depression and peaked T waves in the precordial leads.
• The de Winter pattern is seen in ~2% of acute LAD occlusions and is under-recognised by clinicians.
• Unfamiliarity with this high-risk ECG pattern may lead to under-treatment (e.g. failure of cath lab activation), with attendant negative effects on morbidity and mortality.

Major Publications

• de Winter RJ, Koster RW, Sturk A, Sanders GT. Value of myoglobin, troponin T, and CK-MBmass in ruling out an acute myocardial infarction in the emergency room. Circulation. 1995 Dec 15;92(12):3401-7.
• de Winter RJ, Windhausen F, Cornel JH, Dunselman PH, Janus CL, Bendermacher PE et al. Invasive versus Conservative Treatment in Unstable Coronary Syndromes (ICTUS) Investigators. Early invasive versus selectively invasive management for acute coronary syndromes. N Engl J Med. 2005 Sep 15;353(11):1095-104
• de Winter RJ, Verouden NJ, Wellens HJ, Wilde AA. A new ECG sign of proximal LAD occlusion. N Engl J Med. 2008 Nov 6;359(19):2071-3 [de Winter wave]
• Sjauw KD, Engström AE, Vis MM, van der Schaaf RJ, Baan J Jr, Koch KT, de Winter RJ et al. A systematic review and meta-analysis of intra-aortic balloon pump therapy in ST-elevation myocardial infarction: should we change the guidelines? Eur Heart J. 2009 Feb;30(4):459-68
• Fox KA, Clayton TC, Damman P, Pocock SJ, de Winter RJ, Tijssen JG et al. FIR Collaboration. Long-term outcome of a routine versus selective invasive strategy in patients with non-ST-segment elevation acute coronary syndrome a meta-analysis of individual patient data. J Am Coll Cardiol. 2010 Jun 1;55(22):2435-45
• de Winter RJ. Total eclipse in the heart. Neth Heart J. 2018 Jan;26(1):49. 

References

Biography

• University of Amsterdam. Dr RJ de Winter. 2008 Sep.
• European Cardiovascular Research Institute. Rob de Winter. 2017.
• Bibliography. de Winter, Robbert J. WorldCat Identities

Eponymous terms

• Cadogan M. de Winter wave, Eponym A Day. Instagram
• Cadogan M. History of the Electrocardiogram. LITFL

Gary Zhang

Doctor in Australia. Keen interest in internal medicine, medical education, and medical history.

Mike Cadogan

Associate Professor Curtin Medical School, Curtin University. Emergency physician MA (Oxon) MBChB (Edin) FACEM FFSEM Sir Charles Gairdner Hospital.  Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | Eponyms | Books | Twitter |