[A new ECG marker of anterior acute myocardial infarction]
János Tomcsányi1, Zoltán Nényei, Balázs Sármán
1Budai Irgalmasrendi Kórház Kardiológia Osztály Budapest. tomcsanyi.janos@t-online.hu
Abstract:
ST-segment elevation is the hallmark of acute transmural myocardial ischemia caused by acute occlusion of a coronary artery. ST-segment elevation is the major criterion for the patients with chest pain to immediate reperfusion therapy. Despite its clinical importance, the mechanism of ST-elevation remains unclear. Two patients are reported with proximal left anterior descending coronary occlusion but without ST-segment elevation. The distinct ECG patterns were tall, with symmetrical T-waves and upsloping and digoxin-like ST-segment depression. Patients with these ECG patterns need immediate coronary intervention.
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