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, cilt.10, sa.4, 2016 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 10 Sayı: 4
  • Basım Tarihi: 2016
  • Doi Numarası: 10.7860/jcdr/2016/17490.7599
  • Dergi Adı: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
  • İstanbul Üniversitesi Adresli: Evet

Özet

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.