Acute coronary syndrome with single‑lead ST segment elevation: A rare presentation of multivessel coronary artery
Giovanni Goffredo1, Michele Correale2, Davide Manfredi1
1Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Insights
A rare single-lead ST-elevation on an electrocardiogram can indicate serious multivessel coronary artery disease. Prompt diagnosis and treatment, including angioplasty and stenting, are crucial for acute coronary syndrome management.
Area of Science:
- Cardiology
- Internal Medicine
- Medical Case Reports
Background:
- Acute coronary syndrome (ACS) typically presents with characteristic electrocardiogram (ECG) changes.
- Isolated ST-elevation in a single lead is an uncommon presentation of ACS.
- Multivessel coronary artery disease (CAD) is a significant risk factor for severe cardiac events.
Abstract:
We report the case of a 73-year-old male admitted for epigastric pain and syncope with increased troponin level and a rare electrocardiogram (a single‑lead ST-elevation). Coronary angiography showed multi-vessel coronary artery disease. The patient underwent coronary angioplasty with drug-eluting stenting on left anterior descending coronary artery and drug eluting ballooning on first diagonal ostium. Coronary revascularization was completed with a staged stenting on left circumflex artery and right coronary artery. In rare cases of acute coronary syndrome, even isolated ST single lead anomalies may underlie multivessel coronary disease.
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