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2018•World Journal of Cardiovascular DiseasesOpen access

Acute Inferior Myocardial Infarction Presenting as Anterior ST Segment Elevation Myocardial Infarction on ECG

Muhammad Adnan Ali, Angelos G. Rigopoulos, Jan Lukas Prüser, Marios Matiakis, Khaldoun Ali, Alexander Vogt, Michel Noutsias

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Abstract

A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coronary artery (RCA) and no significant stenosis in left anterior descending coronary artery (LAD). The occlusion of a non-dominant RCA may result in anterior ST-segment elevation ECG changes, which could disorient both general and interventional cardiologists.

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What this paper is about

A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coronary artery (RCA) and no significant stenosis in left anterior descending coronary artery (LAD). The occlusion of a non-dominant RCA may result in anterior ST-segment elevation ECG changes, which could disorient both general and interventional cardiologists.

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Available abstract

A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coronary artery (RCA) and no significant stenosis in left anterior descending coronary artery (LAD). The occlusion of a non-dominant RCA may result in anterior ST-segment elevation ECG changes, which could disorient both general and interventional cardiologists.

Key concepts: Medicine, Cardiology, Internal medicine, Myocardial infarction, ST segment, Chest pain, ST elevation, Right coronary artery

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