Isolated right ventricular infarction presenting with ST-segment elevation in precordial leads V1-V3
Michael Koutouzis1, Ioannis Chaveles, George Arealis
12nd Cardiology Department, Red Cross Hospital, Athens, Greece.
Summary
A rare case of ST-segment elevation in precordial leads V1-V3 was observed. This was caused by a blocked ventricular branch of the right coronary artery during angioplasty.
Area of Science:
- Cardiology
- Interventional Cardiology
- Clinical Case Reports
Background:
- ST-segment elevation myocardial infarction (STEMI) typically presents with specific ECG findings.
- Right coronary artery (RCA) occlusions are common causes of inferior or posterior myocardial infarction.
Observation:
- A rare case of ST-segment elevation in precordial leads (V1-V3) was noted.
- This ECG pattern was associated with an occlusion of a ventricular branch of the RCA.
Findings:
- The observed ST-segment elevation in V1-V3 was attributed to an isolated occlusion of the ventricular branch of the RCA.
- Primary percutaneous coronary angioplasty was performed successfully for this rare coronary artery occlusion.
Implications:
- This case highlights an unusual presentation of RCA occlusion.
- Understanding rare coronary anatomy variants is crucial for accurate diagnosis and treatment in interventional cardiology.
- Clinicians should consider atypical causes of precordial ST-segment elevation during acute coronary syndrome evaluations.
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