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Title: Isolated high lateral acute myocardial infarction with superior injury current axis
Authors: Lee, L.C.
Tan, H.C. 
Poh, K.K.
Keywords: Acute myocardial infarction
Isolated high lateral acute myocardial infarct
Left circumflex artery occlusion
Myocardial infarction
ST depression
ST elevation
Issue Date: Oct-2008
Citation: Lee, L.C., Tan, H.C., Poh, K.K. (2008-10). Isolated high lateral acute myocardial infarction with superior injury current axis. Singapore Medical Journal 49 (10) : e266-e268. ScholarBank@NUS Repository.
Abstract: We repor t a 70-year-old man with high lateral ST elevation myocardial infarction secondary to occlusion of left circumf lex artery. Electrocardiography (ECG) showed ST depression in inferior leads and isolated ST elevation in leads aVR and aVL, demonstrating a superior axis of the injury current vector. Dif ferent presentations of ECG pat tern from left circumf lex artery occlusion were discussed. This case highlights the importance of recognising unusual ECG pattern in accurate diagnosis of acute myocardial infarction.
Source Title: Singapore Medical Journal
ISSN: 00375675
Appears in Collections:Staff Publications

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