Simultaneous ST-segment elevation in the precordial and inferior leads in acute myocardial infarction

[ X ]

Tarih

2007

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turkish Soc Cardiology

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

In general, ST-segment elevation in either the precordial or inferior leads is the most common electrocardiography (ECG) finding in patients with acute myocardial infarction (AMI). However, simultaneous ST-segment elevation in the precordial and inferior leads is a rare finding. A 48year-old male patient was admitted with a diagnosis of AMI upon detection of ST-segment elevation in the DI, aVL, and V1-6 leads and reciprocal changes in inferior leads. A subsequent ECG taken before submission to the cardiac catheterization laboratory showed that the STsegment approached the isoelectric line in the anterior leads, while remaining elevated in the D2, D3, and aVF leads. Coronary angiography revealed 95% stenosis in the left anterior descending (LAD) coronary artery with total occlusion distally, and some insignificant stenoses in the right coronary artery. A bare metal stent was placed in the LAD, with balloon dilatation of the distal lesion. He was discharged on the seventh day of admission.

Açıklama

Anahtar Kelimeler

Coronary Angiography, Coronary Circulation, Electrocardiography, Myocardial Infarction

Kaynak

Turk Kardiyoloji Dernegi Arsivi-Archives of The Turkish Society of Cardiology

WoS Q Değeri

N/A

Scopus Q Değeri

Q3

Cilt

35

Sayı

8

Künye