Subtle Electrocardiographic Abnormalities

Elias Hanna; D Luke Glancy

doi:10.1016/j.amjcard.2015.05.025

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Subtle Electrocardiographic Abnormalities

Journal article

Peer reviewed

Subtle Electrocardiographic Abnormalities

Elias Hanna and D Luke Glancy

The American journal of cardiology, Vol.116(4), pp.669-670

08/15/2015

DOI: 10.1016/j.amjcard.2015.05.025

PMID: 26081067

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Abstract

[...]reciprocal ST-segment depression and T-wave inversion are seen in lead aVL, further confirming that the inferior ST-T changes represent an injury pattern. A left circumflex coronary arterial occlusion is associated with ST-segment depression in leads V1, V2, aVR, and ST-segment elevation in lead I (or, at the very least, a lack of ST-segment depression in lead I). [...]the left circumflex is the likely culprit artery in this case, rather than the right coronary artery.1 Subtle, overlooked ST-segment abnormalities are common with acute left circumflex occlusions.2 Emergent primary percutaneous coronary intervention (PCI) is warranted in a patient continuing to have chest pain within 12 hours of onset.

Medical Imaging

Morphology

Electrocardiography

Heart attacks

Veins & arteries

Details

Title: Subtitle: Subtle Electrocardiographic Abnormalities
Creators: Elias Hanna - Louisiana State University Health Sciences Center New Orleans
D Luke Glancy
Resource Type: Journal article
Publication Details: The American journal of cardiology, Vol.116(4), pp.669-670
Publisher: Elsevier Limited
DOI: 10.1016/j.amjcard.2015.05.025
PMID: 26081067
ISSN: 0002-9149
eISSN: 1879-1913
Language: English
Date published: 08/15/2015
Academic Unit: Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984360043602771

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