A totally occluded right coronary artery presenting with a normal electrocardiogram.
J Invasive Cardiol
; 15(6): 355-8, 2003 Jun.
Article
em En
| MEDLINE
| ID: mdl-12777678
ABSTRACT
Total occlusion of the right coronary artery (RCA) typically manifests as ST-segment elevation in the inferior leads and sometimes the lateral precordial leads of the surface electrocardiogram (ECG). We report a case of a patient with a normal electrocardiogram on presentation who, on angiography, revealed a totally occluded proximal RCA. Emergency angioplasty and stenting was successfully able to recanalize the entire RCA and restore TIMI III flow. ECGs performed post-procedure showed minimal change. The existence of a subendocardial microvascular network may have allowed this patient to escape what typically would have been a large ST-elevation inferior myocardial infarction.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Angioplastia Coronária com Balão
/
Eletrocardiografia
/
Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Invasive Cardiol
Ano de publicação:
2003
Tipo de documento:
Article