Literature DB >> 23530492

Acute coronary syndromes presenting with transient diffuse ST segment depression and st segment elevation in lead aVR not caused by "acute left main coronary artery occlusion": description of two cases.

Edward Kim1, Yochai Birnbaum.   

Abstract

BACKGROUND: Diffuse ST-segment depression in the inferior + anterolateral leads with ST-segment elevation in lead aVR has been described as characteristic of diffuse circumferential subendocardial ischemia caused by acute subtotal occlusion of the left main coronary artery.
METHODS: Here we describe two patients admitted for acute neurological disorders who developed transient diffuse ST-segment depression in the inferior + anterolateral leads with ST-segment elevation in lead aVR, associated with elevation of cardiac troponin-I.
RESULTS: In both cases subsequent coronary angiography did not show significant left main stenosis or "left main equivalent" narrowings.
CONCLUSIONS: As both patients had acute neurological disorders, a possible association between the two conditions is discussed. ©2012, Wiley Periodicals, Inc.

Entities:  

Mesh：

Year:  2012        PMID： 23530492      PMCID： PMC6932353          DOI： 10.1111/anec.12002

Source DB:  PubMed          Journal:  Ann Noninvasive Electrocardiol        ISSN： 1082-720X            Impact factor:   1.468


  12 in total

1.  Manifestation of left main coronary artery stenosis is diffuse ST depression in inferior and precordial leads on ECG.

Authors:  Samuel Sclarovsky; Kjell C Nikus; Yochai Birnbaum; Nikus Kjell
Journal:  J Am Coll Cardiol       Date:  2002-08-07       Impact factor: 24.094

2.  Predictors of left main or three-vessel disease in patients who have acute coronary syndromes with non-ST-segment elevation.

Authors:  Masami Kosuge; Kazuo Kimura; Toshiyuki Ishikawa; Toshiaki Ebina; Tomoaki Shimizu; Kiyoshi Hibi; Noritaka Toda; Yoshio Tahara; Kengo Tsukahara; Masahiko Kanna; Jyunn Okuda; Naoki Nozawa; Hiroyuki Ozaki; Hideto Yano; Satoshi Umemura
Journal:  Am J Cardiol       Date:  2005-06-01       Impact factor: 2.778

3.  Critical left main stenosis presenting as diffuse ST segment depression.

Authors:  J H Frierson; A P Dimas; M T Metzdorff; U S Page
Journal:  Am Heart J       Date:  1993-06       Impact factor: 4.749

4.  Prediction of acute left main coronary artery obstruction by 12-lead electrocardiography. ST segment elevation in lead aVR with less ST segment elevation in lead V(1).

Authors:  H Yamaji; K Iwasaki; S Kusachi; T Murakami; R Hirami; H Hamamoto; K Hina; T Kita; N Sakakibara; T Tsuji
Journal:  J Am Coll Cardiol       Date:  2001-11-01       Impact factor: 24.094

5.  Electrocardiographic presentation of left main disease in patients undergoing urgent or emergent coronary artery bypass grafting.

Authors:  Kjell Nikus; Otso Järvinen; Samuel Sclarovsky; Heini Huhtala; Matti Tarkka; Markku Eskola
Journal:  Postgrad Med       Date:  2011-03       Impact factor: 3.840

6.  Short- and long-term prognostic significance of ST-segment elevation in lead aVR in patients with non-ST-segment elevation acute coronary syndrome.

Authors:  Nevio Taglieri; Antonio Marzocchi; Francesco Saia; Cinzia Marrozzini; Tullio Palmerini; Paolo Ortolani; Laura Cinti; Stefania Rosmini; Fabio Vagnarelli; Laura Alessi; Caterina Villani; Giuseppe Scaramuzzino; Ilaria Gallelli; Giovanni Melandri; Angelo Branzi; Claudio Rapezzi
Journal:  Am J Cardiol       Date:  2011-04-27       Impact factor: 2.778

7.  ST-depression with negative T waves in leads V4-V5--a marker of severe coronary artery disease in non-ST elevation acute coronary syndrome: a prospective study of Angina at rest, with troponin, clinical, electrocardiographic, and angiographic correlation.

Authors:  Kjell C Nikus; Markku J Eskola; Vesa K Virtanen; Saila Vikman; Kari O Niemelä; Heini Huhtala; Samuel Sclarovsky
Journal:  Ann Noninvasive Electrocardiol       Date:  2004-07       Impact factor: 1.468

8.  ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction; A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction).

Authors:  Elliott M. Antman; Daniel T. Anbe; Paul Wayne Armstrong; Eric R. Bates; Lee A. Green; Mary Hand; Judith S. Hochman; Harlan M. Krumholz; Frederick G. Kushner; Gervasio A. Lamas; Charles J. Mullany; Joseph P. Ornato; David L. Pearle; Michael A. Sloan; Sidney C. Smith; Joseph S. Alpert; Jeffrey L. Anderson; David P. Faxon; Valentin Fuster; Raymond J. Gibbons; Gabriel Gregoratos; Jonathan L. Halperin; Loren F. Hiratzka; Sharon Ann Hunt; Alice K. Jacobs; Joseph P. Ornato
Journal:  J Am Coll Cardiol       Date:  2004-08-04       Impact factor: 24.094

Review 9.  Electrocardiogram patterns in acute left main coronary artery occlusion.

Authors:  Kjell C Nikus; Markku J Eskola
Journal:  J Electrocardiol       Date:  2008-09-13       Impact factor: 1.438

Review 10.  Electrocardiographic classification of acute coronary syndromes: a review by a committee of the International Society for Holter and Non-Invasive Electrocardiology.

Authors:  Kjell Nikus; Olle Pahlm; Galen Wagner; Yochai Birnbaum; Juan Cinca; Peter Clemmensen; Markku Eskola; Miquel Fiol; Diego Goldwasser; Anton Gorgels; Samuel Sclarovsky; Shlomo Stern; Hein Wellens; Wojciech Zareba; Antoni Bayés de Luna
Journal:  J Electrocardiol       Date:  2009-11-14       Impact factor: 1.438
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  2 in total

1.  Normalization of Diffuse ST-Depression with aVR Elevation After Rehydration in a Patient with Severe Aortic Stenosis.

Authors:  Sachin R Patel; Vikas J Patel; Brittany Clark; George Rust
Journal:  Am J Case Rep       Date:  2017-05-22

2.  Role of the ECG in initial acute coronary syndrome triage: primary PCI regardless presence of ST elevation or of non-ST elevation.

Authors:  B B L M IJkema; J J R M Bonnier; D Schoors; M J Schalij; C A Swenne
Journal:  Neth Heart J       Date:  2014-11       Impact factor: 2.380
  2 in total

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