Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote-Reference-Cited by-同舟云学术

Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote

Published:2020-10-06 Issue: Volume:2020 Page:1-6
ISSN:2090-6412
Container-title:Case Reports in Cardiology
language:en
Short-container-title:Case Reports in Cardiology

Author:

Perčić Marko¹^ORCID,Friščić Tea¹^ORCID,Čerkez Habek Jasna¹^ORCID,Strinić Dean¹^ORCID,Rudman Ninoslav²^ORCID,Šikić Jozica¹^ORCID

Affiliation:

1. Department of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, Croatia

2. Department of Radiology, “Sveti Duh” University Hospital, Zagreb, Croatia

Abstract

Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-vessel disease. Our case of anterior wall myocardial infarction with inferior ST elevation and anterior ST depression shows that electrocardiographic changes during acute myocardial infarction cannot always be explained by logical sequelae of the injury current, vessel anatomy, and their irrigation territory.

Publisher

Hindawi Limited

Subject

Cardiology and Cardiovascular Medicine

Link

http://downloads.hindawi.com/journals/cric/2020/4172050.pdf

Reference11 articles.

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