Total occlusion of the left main coronary artery presenting as ST-elevation myocardial infarction

被引:7
作者
Zhao, Yun-Tao [1 ]
Zhou, Hang [1 ]
Shi, Ruiqi [2 ]
Wang, Bin [3 ]
机构
[1] Aerosp Ctr Hosp, Dept Cardiol, 15 Yuquan Rd, Beijing, Peoples R China
[2] Peking Univ, Aerosp Sch Clin Med, 15 Yuquan Rd, Beijing, Peoples R China
[3] Shantou Univ, Med Coll, Affiliated Hosp 1, 57 Changping Rd, Shantou, Guangdong, Peoples R China
关键词
Left main; ST-elevation myocardial infarction; Acute myocardial infarction;
D O I
10.1016/j.jelectrocard.2017.12.040
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An ECG pattern of widespread ST depression in six or more precordial and inferior leads, accompanied by ST segment elevation in the aVR and/or V-1 leads, is typical of the non-ST-segment elevation myocardial infarction (NSTEMI) pattern associated left main (LM) artery occlusion, but this ECG pattern is really associated with a subocclusion of the LM, or in the case that the LM was occluded with the presence of collateral circulation. There are few reports of ST-elevation myocardial infarction (STEMI) due to acute total LM occlusion. We report a case of STEMI pattern due to acute total LM occlusion. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:479 / 480
页数:2
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