Warning: Undefined array key "mm" in /www/wwwroot/www.ai-bt.com/si.php on line 10 Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /www/wwwroot/www.ai-bt.com/si.php on line 10 Upsloping ST depression: Is it acute ischemia?

Literature DB >> 30387541

Upsloping ST depression: Is it acute ischemia?

Mahboob Alam¹, Kjell Nikus², Miguel Fiol³, Antoni Bayes de Luna⁴, Yochai Birnbaum¹.

Abstract

We describe a patient with acute coronary syndrome, presenting with upsloping ST depression in leads I, II, V3-V6 and ST elevation in lead aVR. Coronary angiography revealed spontaneous dissection in a big, dominant left circumflex artery. No other lesions identified. During stenting of the dissection site, the distal left circumflex, supplying a large posterior descending artery was occluded, resulting in ST elevation myocardial infarction with ST elevation in lead III and aVF, but not II. This pattern is considered to represent right coronary artery infarction, rather than left circumflex infarction.

Entities: Disease Species

Keywords: ST depression; aVR; acute coronary syndrome; coronary artery dissection; electrocardiogram

Mesh：

Year: 2018 PMID： 30387541 PMCID： PMC6931685 DOI： 10.1111/anec.12607

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

13 in total

Review 1. AHA/ACCF/HRS recommendations for the standardization and interpretation of the electrocardiogram: part VI: acute ischemia/infarction: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society. Endorsed by the International Society for Computerized Electrocardiology.

Authors: Galen S Wagner; Peter Macfarlane; Hein Wellens; Mark Josephson; Anton Gorgels; David M Mirvis; Olle Pahlm; Borys Surawicz; Paul Kligfield; Rory Childers; Leonard S Gettes; James J Bailey; Barbara J Deal; Anton Gorgels; E William Hancock; Jan A Kors; Jay W Mason; Peter Okin; Pentti M Rautaharju; Gerard van Herpen
Journal: J Am Coll Cardiol Date: 2009-03-17 Impact factor: 24.094

2. Clinical features, management, and prognosis of spontaneous coronary artery dissection.

Authors: Marysia S Tweet; Sharonne N Hayes; Sridevi R Pitta; Robert D Simari; Amir Lerman; Ryan J Lennon; Bernard J Gersh; Sherezade Khambatta; Patricia J M Best; Charanjit S Rihal; Rajiv Gulati
Journal: Circulation Date: 2012-07-16 Impact factor: 29.690

3. Cardiac Magnetic Resonance Evaluation of the Extent of Myocardial Injury in Patients with Inferior ST Elevation Myocardial Infarction and Concomitant ST Depression in Leads V1-V3: Analysis from the MITOCARE Study.

Authors: Xiaoming Jia; Einar Heiberg; Maria Sejersten Ripa; Henrik Engblom; Marcus Carlsson; Sigrun Halvorsen; Håkan Arheden; Dan Atar; Peter Clemmensen; Yochai Birnbaum
Journal: Cardiology Date: 2018-08-10 Impact factor: 1.869

Review 4. ECG diagnosis and classification of acute coronary syndromes.

Authors: Yochai Birnbaum; James Michael Wilson; Miquel Fiol; Antonio Bayés de Luna; Markku Eskola; Kjell Nikus
Journal: Ann Noninvasive Electrocardiol Date: 2013-12-30 Impact factor: 1.468

5. Slow upsloping ST-segment depression during exercise: does it really signify a positive stress test?

Authors: Milind Y Desai; Sharon Crugnale; Jennifer Mondeau; Kristy Helin; Finn Mannting
Journal: Am Heart J Date: 2002-03 Impact factor: 4.749

6. Introducing a new algorithm in inferior ST-segment elevation myocardial infarction to predict the culprit artery and distinguish proximal versus distal lesions.

Authors: Ravi S Hira; James M Wilson; Yochai Birnbaum
Journal: Coron Artery Dis Date: 2011-05 Impact factor: 1.439

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. Diffuse ST-Segment Depression with ST-Segment Elevation in Lead aVR in 12-Lead Electrocardiography May Indicate Ischemic Change of Severe Aortic Stenosis.

Authors: Tien-Chi Huang; Meng-Kuang Lee; Shin-Jing Lin; Ye-Hsu Lu; Kun-Tai Lee
Journal: Acta Cardiol Sin Date: 2015-09 Impact factor: 2.672

9. Precordial junctional ST-segment depression with tall symmetric T-waves signifying proximal LAD occlusion, case reports of STEMI equivalence.

Authors: Ruben W de Winter; Rob Adams; Niels J W Verouden; Robbert J de Winter
Journal: J Electrocardiol Date: 2015-10-13 Impact factor: 1.438