An emergency ECG sign of ST elevation myocardial infarction

The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the ST-segment elevation associated with a tall and peaked T wave in precordial leads. We reported a case who suffered from typical chest pain and tall and positively symmetrical T waves in leads V , J po...

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Veröffentlicht in:	BMC cardiovascular disorders 2019-05, Vol.19 (1), p.130-4, Article 130
Hauptverfasser:	Qu, Baoze, Tao, Guizhou, Liu, Renguang
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute coronary syndrome Acute Coronary Syndrome - diagnosis Acute Coronary Syndrome - physiopathology Acute Coronary Syndrome - therapy Angiography Case Report Coronary Angiography Coronary heart disease Coronary Occlusion - diagnosis Coronary Occlusion - physiopathology Coronary Occlusion - therapy Diagnosis Electrocardiogram Electrocardiography Emergency medical services Heart attack Humans Left anterior descending coronary artery Male Middle Aged Myocardial infarction Pain management Percutaneous Coronary Intervention Predictive Value of Tests Risk factors ST Elevation Myocardial Infarction - diagnosis ST Elevation Myocardial Infarction - physiopathology ST Elevation Myocardial Infarction - therapy Treatment Outcome
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Beschreibung
Zusammenfassung:	The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the ST-segment elevation associated with a tall and peaked T wave in precordial leads. We reported a case who suffered from typical chest pain and tall and positively symmetrical T waves in leads V , J point depression with upsloping ST-segment depression. However, the coronary angiogram demonstrated a 100% occlusion of midshaft LAD artery. Recognition of this atypical electrocardiogram (ECG) pattern can ensure immediate reperfusion therapy regarding acute myocardial infarction.
ISSN:	1471-2261 1471-2261
DOI:	10.1186/s12872-019-1109-0