The South African Flag Sign: An Electrocardiographic Flag for All Coronary Territories?

The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D(1)) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded “widow-maker” lesion (100% occluded...

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Detalles Bibliográficos
Autores principales: Swarath, Steven, Maharaj, Nicole, Hall, Andrew, Frederick, Jean Marie, Seecheran, Rajeev, Seecheran, Valmiki, Seecheran, Naveen Anand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10413884/
https://www.ncbi.nlm.nih.gov/pubmed/37559377
http://dx.doi.org/10.1177/23247096231192861
Descripción
Sumario:The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D(1)) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded “widow-maker” lesion (100% occluded proximal left anterior descending [LAD] artery) and severe multivessel disease (90% stenosis of the posterior left ventricular [PLV] artery and 80% stenosis of the left circumflex artery [LCx]).

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