Isolated Right Ventricular Infarction Mimicking Anterior ST-Segment Elevation


Baydar O. , Oktay V. , Coskun U. , Yildiz A. , Gurmen T.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, vol.10, no.4, 2016 (Journal Indexed in ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 10 Issue: 4
  • Publication Date: 2016
  • Doi Number: 10.7860/jcdr/2016/17490.7599
  • Title of Journal : JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

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.