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2022•Unpublished venueRequires access

Acute Coronary Syndrome with ST Segment Elevation: New Electrocardiographic Pattern

Diego Abreo

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Abstract

A 58-year-old man with a history of hypertension and diabetes, presented to the emergency department (ED) after 2 hours of oppressive, severe chest pain radiating to the left arm and associated with dyspnea. Upon arrival he was stable, an ECG was performed that demonstrated an isolated elevation of the J point in DIII, with depression of the J point in DI, DII, AVL, V4 to V6, with isoelectric ST segment in AVF. Troponine was not expected because an ST equivalent pattern was suspected. Should the patient be treated for an acute coronary syndrome with elevation of the ST or non-ST elevation based on the ECG findings?

About this research paper

What this paper is about

A 58-year-old man with a history of hypertension and diabetes, presented to the emergency department (ED) after 2 hours of oppressive, severe chest pain radiating to the left arm and associated with dyspnea. Upon arrival he was stable, an ECG was performed that demonstrated an isolated elevation of the J point in DIII, with depression of the J point in DI, DII, AVL, V4 to V6, with isoelectric ST segment in AVF. Troponine was not expected because an ST equivalent pattern was suspected. Should the patient be treated for an acute coronary syndrome with elevation of the ST or non-ST elevation based on the ECG findings?

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Available abstract

A 58-year-old man with a history of hypertension and diabetes, presented to the emergency department (ED) after 2 hours of oppressive, severe chest pain radiating to the left arm and associated with dyspnea. Upon arrival he was stable, an ECG was performed that demonstrated an isolated elevation of the J point in DIII, with depression of the J point in DI, DII, AVL, V4 to V6, with isoelectric ST segment in AVF. Troponine was not expected because an ST equivalent pattern was suspected. Should the patient be treated for an acute coronary syndrome with elevation of the ST or non-ST elevation based on the ECG findings?

Key concepts: ST segment, Medicine, ST elevation, Cardiology, Internal medicine, Acute coronary syndrome, Emergency department, Chest pain

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