article information

International Journal of Cardiovascular Practice: Vol.1, issue 1; 18-19
published online: April 01, 2016
article type: Case Report
received: September 12, 2015
accepted: September 02, 2015
DOI: https://doi.org/10.20286/ijcp-010102
Crossmark

Acute Myocardial Infarction in a Patient With Elevated ST-Segment in aVR Lead and Diffuse ST Segment Depression in Other Leads: A Case Report

authors:

avatar Morteza Safi 1 , avatar Isa Khaheshi 1 , * , avatar Mehdi Memaryan 1

Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

how to cite: Safi M, Khaheshi I , Memaryan M. Acute Myocardial Infarction in a Patient With Elevated ST-Segment in aVR Lead and Diffuse ST Segment Depression in Other Leads: A Case Report. Int J Cardiovasc Pract. 2016;1(1):e130021. https://doi.org/10.20286/ijcp-010102.

Abstract

ST elevation in aVR in conjunction with diffuse ST depression in precordial leads may indicate occlusion of very proximal portion of the left anterior descending artery. We present a 54-year old man, with crushing retrosternal pain and ST-segment elevation only in aVR lead and diffuse ST-segment depression in inferior, lateral and precordial leads. The patient was scheduled for emergent coronary angiography, which showed that left anterior descending (LAD) artery was cut off at very proximal portion and urgent CABG was performed for the patient.

Fulltext

Full-text is available in PDF file.