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Journals / Türk Kardiyoloji Derneği Arşivi / 2007 / Cilt: 35 - Sayı: 8

Simultaneous ST-segment elevation in the precordial and inferior leads in acute myocardial infarction

Akut miyokard infarktüsünde prekordiyal ve inferior derivasyonlarda eşzamanlı ST-segment yükselmesi

Serkan TOPALOĞLU
Fehmi KAÇMAZ
Fatma METİN
Ömer ALYAN
Pages
495–498
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

He was discharged on the seventh day of admission.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In general, ST-segment elevation in either the precordial or inferior leads is the most common electrocardiography (ECG) finding in patients with acute myocardial infarction (AMI).
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Key Findings & Data:A 48- year-old male patient was admitted with a diagnosis of AMI upon detection of ST-segment elevation in the DI, aVL, and V1-6 leads and reciprocal changes in inferior leads.
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Conclusion & Impact:He was discharged on the seventh day of admission.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

In general, ST-segment elevation in either the precordial or inferior leads is the most common electrocardiography (ECG) finding in patients with acute myocardial infarction (AMI). However, simultaneous ST-segment elevation in the precordial and inferior leads is a rare finding. A 48- year-old male patient was admitted with a diagnosis of AMI upon detection of ST-segment elevation in the DI, aVL, and V1-6 leads and reciprocal changes in inferior leads. A subsequent ECG taken before submission to the cardiac catheterization laboratory showed that the STsegment approached the isoelectric line in the anterior leads, while remaining elevated in the D2, D3, and aVF leads. Coronary angiography revealed 95% stenosis in the left anterior descending (LAD) coronary artery with total occlusion distally, and some insignificant stenoses in the right coronary artery. A bare metal stent was placed in the LAD, with balloon dilatation of the distal lesion. He was discharged on the seventh day of admission.

Özet

T-segment yükselmesi, akut miyokard infarktüsünde (AMİ) prekordiyal ya da inferior derivasyonlarda en sık görülen elektrokardiyografi (EKG) bulgusudur. Bu hastalarda derivasyonların her ikisinde de görülen ST-segment yükselmesi ise nadir bir durumdur. Acil serviste çekilen EKG’de DI, aVL, V1-6 derivasyonlarında ST-segment yükselmesi ve inferior derivasyonlarda resiprokal değişiklikler görülen 48 yaşında erkek hasta anterior AMİ tanısıyla yatırıldı. Kateter laboratuvarına alınmadan önce çekilen ikinci EKG’de anterior derivasyonlardaki ST-segment yüksekliğinin izoelektrik hata yaklaştığı, ancak D2, D3 ve aVF derivasyonlarında devam ettiği görüldü. Koroner anjiyografide, sol ön inen koroner arterde %95 darlık ve distalde tam tıkanıklık, sağ koroner arterde ise kritik olmayan darlıklar görüldü. Sol ön inen koroner artere çıplak stent yerleştirildi; distaldeki lezyon ise balonla genişletildi. Hasta yatışının yedinci gününde taburcu edildi.

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Cite This Article

TOPALOĞLU, S., KAÇMAZ, F., METİN, F., ALYAN, Ö. (2022). Simultaneous ST-segment elevation in the precordial and inferior leads in acute myocardial infarction. Türk Kardiyoloji Derneği Arşivi, Cilt: 35 - Sayı: 8, 495–498. https://ajindex.com/articles/633590

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