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‘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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
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 |
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author | Balakrishnan, Iswaree Devi Chin, Chee Yang Teo, Louis Tan, Boon Yew Yeo, Khung Keong |
author_facet | Balakrishnan, Iswaree Devi Chin, Chee Yang Teo, Louis Tan, Boon Yew Yeo, Khung Keong |
author_sort | Balakrishnan, Iswaree Devi |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6084609 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-60846092018-08-14 ‘Balanced ischaemia’ on ECG in dual territory STEMI Balakrishnan, Iswaree Devi Chin, Chee Yang Teo, Louis Tan, Boon Yew Yeo, Khung Keong Oxf Med Case Reports Case Report 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. Oxford University Press 2018-08-09 /pmc/articles/PMC6084609/ /pubmed/30109032 http://dx.doi.org/10.1093/omcr/omy043 Text en © The Author(s) 2018. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Balakrishnan, Iswaree Devi Chin, Chee Yang Teo, Louis Tan, Boon Yew Yeo, Khung Keong ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title | ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title_full | ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title_fullStr | ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title_full_unstemmed | ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title_short | ‘Balanced ischaemia’ on ECG in dual territory STEMI |
title_sort | ‘balanced ischaemia’ on ecg in dual territory stemi |
topic | Case Report |
url | 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 |
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