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International Journal of Cardiovascular Practice
Acute Myocardial Infarction in a Patient With Elevated ST-Segment in aVR Lead and Diffuse ST Segment Depression in Other Leads: A Case Report
Author(s):
1Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding Author: Corresponding author: Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel: +98-9125441637, E-mail: Email: [email protected]
Published online:Apr 01, 2016
Article type:Case Report
Received:Sep 12, 2015
Accepted:Sep 02, 2015
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. doi: 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.
Copyright
© 2016, International Journal of Cardiovascular Practice. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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