Electrocardiographic Recognition of Unprotected Left Main ST-Segment Elevation Myocardial Infarction: Looking Beyond aVR.
JACC Case Rep
; 3(5): 754-759, 2021 May.
Article
en En
| MEDLINE
| ID: mdl-34317620
ST-segment elevation in aVR has traditionally been used for electrocardiographic identification of left main coronary artery (LM) myocardial infarction. We present two ST-segment elevation myocardial infarction (STEMI) cases with acute total occlusion of the LM without aVR ST-segment elevation. This report reviews the different electrocardiographic discriminators suggestive of unprotected LM STEMI. (Level of Difficulty: Intermediate.).
ATO, acute total occlusion; IABP, intra-aortic balloon pump; LAD, left anterior descending coronary artery; LADEV, left axis deviation; LAFB, left anterior fascicular block; LM, left main coronary artery; NPV, negative predictive value; PCI, percutaneous coronary intervention; PPV, positive predictive value; RBBB, right bundle branch block; STD, ST-segment depression; STE, ST-segment elevation; STEMI; STEMI, ST-segment elevation myocardial infarction; TIMI, Thrombolysis In Myocardial Infarction; acute myocardial infarction; electrocardiogram; unprotected left main coronary artery
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
Idioma:
En
Revista:
JACC Case Rep
Año:
2021
Tipo del documento:
Article
País de afiliación:
Puerto Rico
