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An emergency ECG sign of ST elevation myocardial infarction

BACKGROUND: The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the ST-segment elevation associated with a tall and peaked T wave in precordial leads. CASE PRESENTATION: We reported a case who suffered from typical chest pain and tall and positively symmet...

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Detalles Bibliográficos
Autores principales: Qu, Baoze, Tao, Guizhou, Liu, Renguang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543568/
https://www.ncbi.nlm.nih.gov/pubmed/31146683
http://dx.doi.org/10.1186/s12872-019-1109-0
Descripción
Sumario:BACKGROUND: The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the ST-segment elevation associated with a tall and peaked T wave in precordial leads. CASE PRESENTATION: We reported a case who suffered from typical chest pain and tall and positively symmetrical T waves in leads V(2–6), J point depression with upsloping ST-segment depression. However, the coronary angiogram demonstrated a 100% occlusion of midshaft LAD artery. CONCLUSIONS: Recognition of this atypical electrocardiogram (ECG) pattern can ensure immediate reperfusion therapy regarding acute myocardial infarction.