A Case of Unusual Electrocardiographic Presentation of Right Ventricular Myocardial Infarction
Tan, H.C. Yeo, T.C. Lim, Y.T. Chia, B.L.
Tan, H.C.
Yeo, T.C.
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Abstract
This is a case of an unusual electrocardiographic manifestation of a patient with right ventricular (RV) myocardial infarction occurring in association with left ventricular inferoposterior myocardial infarction. There was massive ST-segment elevation in the precordial leads resembling that of an anterior myocardial infarct in addition to the ST-segment elevation seen normally in right ventricular leads. Two-dimensional echocardiography confirmed right ventricular hypokinesia and coronary angiography revealed single-vessel coronary artery disease involving the right coronary artery. It served to remind us that the presence of diffuse and massive ST-segment elevation in the precordial leads in a patient with inferior myocardial infarction may indicate simultaneous RV infarction and warrants further confirmatory tests.
Keywords
Precordial ST-segment elevation, Right ventricular infarct
Source Title
Annals of the Academy of Medicine Singapore
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Series/Report No.
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Date
1997-11
DOI
Type
Article