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- Title
Anterior ST-Segment Elevation With Right Coronary Artery Occlusion: A Unique Case of Isolated Right Ventricular Infarction.
- Authors
Muhammad, Kamran I.; Kapadia, Samir R.
- Abstract
Anterior ST-segment elevation is the classic electrocardiographic feature of anterior left ventricular myocardial infarction due to occlusion of the left anterior descending artery. However, anterior ST-segment elevation has also been described in patients with right coronary artery occlusion, in whom concomitant inferior ST-segment elevation is also typically present. A case of proximal right coronary artery occlusion resulting in anterior ST-segment elevation without inferior ST-segment elevation is reported in this article. It is hypothesized that the inferior left ventricular wall was protected by left-to-right collaterals, as seen on coronary angiography, with resultant isolated right ventricular infarction upon proximal right coronary artery occlusion. In conclusion, this report presents a unique case of an isolated right ventricular infarction resulting in an electrocardiographic pattern mimicking anterior-wall left ventricular infarction.
- Subjects
MYOCARDIAL infarction; MEDICAL radiography; CORONARY disease; BLOOD circulation disorders; CORONARY arteries; NECROSIS
- Publication
Angiology, 2008, Vol 59, Issue 5, p622
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319707305464