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

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

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-ve...

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Veröffentlicht in:Case Reports in Cardiology 2020-10, Vol.2020 (2020), p.1-6
Hauptverfasser: Rudman, Ninoslav, Strinić, Dean, Čerkez Habek, Jasna, Friščić, Tea, Perčić, Marko, Šikić, Jozica
Format: Artikel
Sprache:eng
Schlagworte:
Cardiology
Cardiovascular disease
Case Report
Case reports
Coronary vessels
Electrocardiography
Heart attack
Heart attacks
Medical imaging
Morphology
Stents
Ticagrelor
Veins & arteries
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Beschreibung
Zusammenfassung: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.
ISSN:2090-6404
2090-6412
DOI:10.1155/2020/4172050