Simultaneous inferior and anterior infarction or severe right ventricular involvement?
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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).
KeywordsRight-heart infarction Cardiac magnetic resonance imaging ST-elevation myocardial infarction Electrocardiogram
No external financial support was received for this case report.
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Conflict of interest
The authors state that they have no conflict of interest to declare.
- 4.Walsh B, Grauer K, Tuohy ER, Smith SW (2018) Proximal RCA occlusion producing anterior ST segment elevation, Q waves, and T wave inversion. J Electrocardiol 51(3):511–515. https://doi.org/10.1016/j.jelectrocard.2017.12.036 CrossRefPubMedGoogle Scholar
- 6.Kanovsky J, Kala P, Novotny T, Benesova K, Holicka M, Jarkovsky J, Koc L, Mikolaskova M, Ondrus T, Malik M (2016) Association of the right ventricle impairment with electrocardiographic localization and related artery in patients with ST-elevation myocardial infarction. J Electrocardiol 49(6):907–910. https://doi.org/10.1016/j.jelectrocard.2016.08.001 CrossRefPubMedGoogle Scholar