Combined ST elevation in a case of acute myocardial infarction: How to identify the infarct-related artery?
| Autor: | Kandan Balamurugesan, Balasubramanian Ramachandran, Kavitha Balasubramanian, Anandaraja Subramanian |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry Single vessel ST elevation Case Report infarct-related artery medicine.disease Distal left anterior descending occlusion Text mining Culprit artery Internal medicine Occlusion cardiovascular system medicine Cardiology proximal artery occlusion Infarct related artery cardiovascular diseases Ecg lead Myocardial infarction business |
| Zdroj: | International Journal of Applied and Basic Medical Research |
| ISSN: | 2229-516X |
| Popis: | Combined ST elevation in anterior and inferior ECG leads in acute myocardial infarction is not a rarity. It is both interesting and challenging to indentify the infarct related culprit artery. We report the case of a middle aged male with acute myocardial infarction whose admission ECG shows ST elevation in lead II, III, aVF as well as from V1-V3. 90% of such cases are due to single vessel occlusion - majority due to proximal RCA occlusion and the remaining due to mid to distal LAD occlusion. ECG features to differentiate between these two vascular occlusions are discussed. In this case at hand, lead III ST elevation of 2.5 mm and V2/V3≥ 1 indicates proximal RCA as the IRA and the same has been confirmed by pre-discharge coronary angiogram . |
| Databáze: | OpenAIRE |
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