Simultaneous ST-segment elevation in the precordial and inferior leads in acute myocardial infarction [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2007; 35(8): 495-498

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

Ömer Alyan1, Fatma Metin2, Serkan Topaloğlu2, Fehmi Kaçmaz2
1Department Of Cardiology, Dicle University, Diyarbakır, Turkey
2Türkiye Yüksek İhtisas Hospital, Department Of Cardiology, Ankara, Turkey

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 ST-segment 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.

Keywords: Coronary angiography, coronary circulation, electrocardiography; myocardial infarction

How to cite this article
Ömer Alyan, Fatma Metin, Serkan Topaloğlu, Fehmi Kaçmaz. Simultaneous ST-segment elevation in the precordial and inferior leads in acute myocardial infarction. Turk Kardiyol Dern Ars. 2007; 35(8): 495-498

Corresponding Author: Ömer Alyan, Türkiye
© Copyright 2019 Archives of the Turkish Society of Cardiology
LookUs & Online Makale