Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote
Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-ve...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/4172050 |
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| author | Marko Perčić Tea Friščić Jasna Čerkez Habek Dean Strinić Ninoslav Rudman Jozica Šikić |
| author_facet | Marko Perčić Tea Friščić Jasna Čerkez Habek Dean Strinić Ninoslav Rudman Jozica Šikić |
| author_sort | Marko Perčić |
| collection | DOAJ |
| description | Changes of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-vessel disease. Our case of anterior wall myocardial infarction with inferior ST elevation and anterior ST depression shows that electrocardiographic changes during acute myocardial infarction cannot always be explained by logical sequelae of the injury current, vessel anatomy, and their irrigation territory. |
| format | Article |
| id | doaj-art-5844123f12f842aebf0aced1e1fb62aa |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-5844123f12f842aebf0aced1e1fb62aa2025-08-20T02:05:48ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/41720504172050Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 HomozygoteMarko Perčić0Tea Friščić1Jasna Čerkez Habek2Dean Strinić3Ninoslav Rudman4Jozica Šikić5Department of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, CroatiaDepartment of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, CroatiaDepartment of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, CroatiaDepartment of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, CroatiaDepartment of Radiology, “Sveti Duh” University Hospital, Zagreb, CroatiaDepartment of Cardiology, Clinic of Internal Medicine, “Sveti Duh” University Hospital, Zagreb, CroatiaChanges of the ST segment are commonly used as predictors of the culprit vessel during an acute myocardial infarction. In case of combined ST elevation in both inferior and anterior leads, these changes can be due to a distal occlusion of a “wrapped” left anterior descending artery (LAD) or a two-vessel disease. Our case of anterior wall myocardial infarction with inferior ST elevation and anterior ST depression shows that electrocardiographic changes during acute myocardial infarction cannot always be explained by logical sequelae of the injury current, vessel anatomy, and their irrigation territory.http://dx.doi.org/10.1155/2020/4172050 |
| spellingShingle | Marko Perčić Tea Friščić Jasna Čerkez Habek Dean Strinić Ninoslav Rudman Jozica Šikić Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote Case Reports in Cardiology |
| title | Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote |
| title_full | Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote |
| title_fullStr | Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote |
| title_full_unstemmed | Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote |
| title_short | Clinical Paradox: Anterior Wall Myocardial Infarction with Predominant Inferior ST Elevation and No Variation in Coronary Anatomy in a PAI-1 Homozygote |
| title_sort | clinical paradox anterior wall myocardial infarction with predominant inferior st elevation and no variation in coronary anatomy in a pai 1 homozygote |
| url | http://dx.doi.org/10.1155/2020/4172050 |
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