Changes in Electrocardiogram from Inferior Myocardial Infarction to Anterior Myocardial Infarction

被引：0
作者：
Savas, Asli Yasemen [1 ]
Basol, Nursah [1 ]
Altunkas, Fatih [2 ]
Damar, Halil Ibrahim [2 ]
机构：
[1] Gaziosmanpasa Univ, Dept Emergency Med, Sch Med, Tokat, Turkey
[2] Gaziosmanpasa Univ, Dept Cardiol, Sch Med, Tokat, Turkey
来源：
EURASIAN JOURNAL OF EMERGENCY MEDICINE | 2016年 / 15卷 / 04期
关键词：
Myocardial infarction; wrap; anterior; inferior;
D O I：
10.5152/eajem.2016.25744
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
We describe a patient who developed acute chest pain and ST-segment elevation in the inferior leads on electrocardiography. In his control electrocardiography after 15 min, ST-segment elevation was observed in the anterior leads. Cardiac catheterization showed that there was wraparound left anterior descending artery and an occlusion in the proximal region. The occlusion was resolved by typical ballooning. To our knowledge, simultaneous ST elevations in anterior and inferior leads have been reported in the literature; however, in our case, with serial electrocardiographic (ECG) records, we realized that inferior ST-segment elevation altered to anterior ST-segment elevation. This indicates the importance of serial ECG records in emergency departments to explain the mechanism.
引用
收藏
页码：193 / 195
页数：3
相关论文
共 15 条
[1]  
Akpinar I, 2008, TURK KARDIYOL DERN A, V36, P335
[2]   Cardiovascular Mortality and Heart Failure Risk Score for Patients After ST-Segment Elevation Acute Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention (Data from the Leiden MISSION! Infarct Registry) [J].
Antoni, M. Louisa ;
Hoogslag, Georgette E. ;
Boden, Helen ;
Liem, Su San ;
Boersma, Eric ;
Fox, Kim ;
Schalij, Martin J. ;
Bax, Jeroen J. ;
Delgado, Victoria .
AMERICAN JOURNAL OF CARDIOLOGY, 2012, 109 (02) :187-194
[3]   Combined anterior and inferior ST segment elevation during the exercise stress testing [J].
Aygul, Nazif ;
Ozdemir, Kurtulus ;
Aydin, Meryem Ulku ;
Duzenli, Mehmet Akif .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 130 (03) :490-493
[4]   Rationale and design of the AngeLmed for Early Recognition and Treatment of STEMI trial: A randomized, prospective clinical investigation [J].
Gibson, Michael C. ;
Krucoff, Mitchell ;
Fischell, David ;
Fischell, Tim A. ;
Keenan, David ;
Abueg, Cassandra ;
Patel, Charmaine ;
Holmes, David .
AMERICAN HEART JOURNAL, 2014, 168 (02) :168-174
[5]   Spontaneous dissection of the LAD mimicking inferior myocardial infarction [J].
Hofmann, U. ;
Schanzenbaecher, P. .
HERZ, 2012, 37 (03) :338-341
[6]   Length of Left Anterior Descending Coronary Artery Determines Prognosis in Acute Anterior Wall Myocardial Infarction [J].
Ilia, Reuben ;
Weinstein, Jean Marc ;
Wolak, Arik ;
Gilutz, Harel ;
Cafri, Carlos .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2014, 84 (02) :316-320
[7]   Relationship between infarct artery location, epicardial flow, and myocardial perfusion after primary percutaneous revascularization in acute myocardial infarction [J].
Kandzari, DE ;
Tcheng, JE ;
Gersh, BJ ;
Cox, DA ;
Stuckey, T ;
Turco, M ;
Mehran, R ;
Garcia, E ;
Zimetbaum, P ;
McGlaughlin, MG ;
Lansky, AJ ;
Costantini, CO ;
Grines, CL ;
Stone, GW .
AMERICAN HEART JOURNAL, 2006, 151 (06) :1288-1295
[8]   Usefulness of the admission electrocardiogram for identifying the infarct-related artery in inferior wall acute myocardial infarction [J].
Kontos, MC ;
Desai, PV ;
Jesse, RL ;
Ornato, JP .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 79 (02) :182-&
[9]   Usefulness of the electrocardiogram in predicting the occlusion site in acute anterior myocardial infarction with isolated disease of the left anterior descending coronary artery [J].
Martínez-Dolz, L ;
Arnau, MA ;
Almenar, L ;
Rueda, J ;
Osa, A ;
Quesada, A ;
Osca, J ;
Zorio, E ;
Palencia, M ;
Cebolla, R .
REVISTA ESPANOLA DE CARDIOLOGIA, 2002, 55 (10) :1036-1041
[10]   Clinical and angiographic characteristics of patients with combined anterior and inferior ST-segment elevation on the initial electrocardiogram during acute myocardial infarction [J].
Sadanandan, S ;
Hochman, JS ;
Kolodziej, A ;
Criger, DA ;
Ross, A ;
Selvester, R ;
Wagner, GS .
AMERICAN HEART JOURNAL, 2003, 146 (04) :653-661
12