Isolated Right Ventricular Infarction Mimicking Anterior ST-Segment Elevation
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, vol.10, no.4, 2016 (ESCI, Scopus)
- Publication Type: Article / Article
- Volume: 10 Issue: 4
- Publication Date: 2016
- Doi Number: 10.7860/jcdr/2016/17490.7599
- Journal Name: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
- Istanbul University Affiliated: Yes
Abstract
Acute coronary syndromes in patients with presence of ST-segment elevation in the anterior precordial leads indicates left anterior descending coronary artery occlusion. However, anterior ST-segment elevation has also been described in right ventricular myocardial infarction and is thought to be due to right coronary artery (RCA) occlusion. We present a rare case of isolated RVMI presenting with anterior ST-segment elevation due to proximal occlusion of a right coronary artery that was treated by primary coronary angioplasty. Primary coronary angioplasty and stenting of this artery was performed resulting in resolution of the chest pain and ST-segment elevation.