"Left Main" Pattern Electrocardiogram: A Diagnostic Trap for Cardiologists

Grace Hoi Ting Kwok1, Kevin Ong2, Wai Kin Chi3

  • 1Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong SAR, China; Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong SAR, China.

JACC. Case Reports
|July 30, 2026
PubMed
Summary

Acute aortic dissection can mimic left main coronary artery occlusion on ECG, leading to misdiagnosis. This case highlights the importance of considering aortic dissection in patients with chest pain and specific ECG findings, even when coronary occlusion is suspected.

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