Clinical Research in Cardiology

, Volume 109, Issue 1, pp 132–135 | Cite as

Simultaneous inferior and anterior infarction or severe right ventricular involvement?

  • Karl FenglerEmail author
  • R. Palitzsch
  • S. Desch
  • H. Thiele
Letter to the Editors


In acute myocardial infarction, 12-lead electrocardiogram (ECG) usually allows attribution of the infarct territory to the ‘culprit’ coronary vessel. In some cases, an altered cardiac anatomy in the left hemithorax or of coronary arteries can hinder this correlation and be misleading to clinicians [1, 2]. We present a case of inferior ST-elevation myocardial infarction with newly diagnosed ST-elevation in anterior leads after PCI of the right coronary artery (RCA).

A 62-year-old man was admitted to our hospital for acute coronary syndrome with persistent angina pectoris for approximately 9 h and possible signs of Q-wave infarction and borderline-significant ST-elevation in preclinical ECG-leads III and aVF (Fig. 1, 1st column).


Right-heart infarction Cardiac magnetic resonance imaging ST-elevation myocardial infarction Electrocardiogram 



No external financial support was received for this case report.

Compliance with ethical standards

Conflict of interest

The authors state that they have no conflict of interest to declare.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Karl Fengler
    • 1
    Email author
  • R. Palitzsch
    • 1
  • S. Desch
    • 1
  • H. Thiele
    • 1
  1. 1.Department of Internal Medicine/CardiologyHeart Center Leipzig at University of LeipzigLeipzigGermany

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