Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote

Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-ve...

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Autores principales: Perčić, Marko, Friščić, Tea, Čerkez Habek, Jasna, Strinić, Dean, Rudman, Ninoslav, Šikić, Jozica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559851/
https://www.ncbi.nlm.nih.gov/pubmed/33083062
http://dx.doi.org/10.1155/2020/4172050
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author Perčić, Marko
Friščić, Tea
Čerkez Habek, Jasna
Strinić, Dean
Rudman, Ninoslav
Šikić, Jozica
author_facet Perčić, Marko
Friščić, Tea
Čerkez Habek, Jasna
Strinić, Dean
Rudman, Ninoslav
Šikić, Jozica
author_sort Perčić, Marko
collection PubMed
description Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-vessel disease. Our case of anterior wall myocardial infarction with inferior ST elevation and anterior ST depression shows that electrocardiographic changes during acute myocardial infarction cannot always be explained by logical sequelae of the injury current, vessel anatomy, and their irrigation territory.
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spelling pubmed-75598512020-10-19 Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote Perčić, Marko Friščić, Tea Čerkez Habek, Jasna Strinić, Dean Rudman, Ninoslav Šikić, Jozica Case Rep Cardiol Case Report Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-vessel disease. Our case of anterior wall myocardial infarction with inferior ST elevation and anterior ST depression shows that electrocardiographic changes during acute myocardial infarction cannot always be explained by logical sequelae of the injury current, vessel anatomy, and their irrigation territory. Hindawi 2020-10-06 /pmc/articles/PMC7559851/ /pubmed/33083062 http://dx.doi.org/10.1155/2020/4172050 Text en Copyright © 2020 Marko Perčić et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Perčić, Marko
Friščić, Tea
Čerkez Habek, Jasna
Strinić, Dean
Rudman, Ninoslav
Šikić, Jozica
Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title_full Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title_fullStr Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title_full_unstemmed Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title_short Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
title_sort clinical paradox: anterior wall myocardial infarction with predominant inferior st elevation and no variation in coronary anatomy in a pai-1 homozygote
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559851/
https://www.ncbi.nlm.nih.gov/pubmed/33083062
http://dx.doi.org/10.1155/2020/4172050
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