‘Balanced ischaemia’ on ECG in dual territory STEMI

Culprit lesion identification in ST elevation myocardial infarction (STEMI) is often guided by electrocardiogram (ECG) changes. However, in the setting of multi-vessel coronary artery occlusion, this can be challenging. We describe an interesting case of dual territory STEMI with unanticipated ECG c...

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Detalles Bibliográficos
Autores principales: Balakrishnan, Iswaree Devi, Chin, Chee Yang, Teo, Louis, Tan, Boon Yew, Yeo, Khung Keong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6084609/
https://www.ncbi.nlm.nih.gov/pubmed/30109032
http://dx.doi.org/10.1093/omcr/omy043
Descripción
Sumario:Culprit lesion identification in ST elevation myocardial infarction (STEMI) is often guided by electrocardiogram (ECG) changes. However, in the setting of multi-vessel coronary artery occlusion, this can be challenging. We describe an interesting case of dual territory STEMI with unanticipated ECG changes that bring forth the concept of ‘balanced ischaemia’. These seemingly bizarre findings are well explained using the fundamentals of electrocardiography reinstating its relevance in modern day cardiology.

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