Electrocardiographic Recognition of Unprotected Left Main ST-Segment Elevation Myocardial Infarction

JACC: Case Reports

José Escabí-Mendoza, MD¹  Diego H. González-Bravo, MD² 

[1] Address for correspondence: Dr. José Escabí-Mendoza, Director of the Accredited Chest Pain Center and the Cardiac Intensive Care Unit, Veterans Affairs Caribbean Healthcare System, Puerto Rico and U.S. Virgin Islands, 10 Casia Street, San Juan 00921, Puerto Rico.;Cardiovascular Division, Department of Medicine, Veterans Affairs Caribbean Healthcare System, San Juan, Puerto Rico;

关键词: acute myocardial infarction;    electrocardiogram;    STEMI;    unprotected left main coronary artery;   

DOI  :  

来源: DOAJ

【 摘 要 】

ST-segment elevation in aVR has traditionally been used for electrocardiographic identification of left main coronary artery (LM) myocardial infarction. We present two ST-segment elevation myocardial infarction (STEMI) cases with acute total occlusion of the LM without aVR ST-segment elevation. This report reviews the different electrocardiographic discriminators suggestive of unprotected LM STEMI. (Level of Difficulty: Intermediate.)

【 授权许可】

Unknown