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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...

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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:
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.
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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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