Combined anterior and inferior ST-segment elevation Electrocardiographic differentiation between right coronary artery occlusion with predominant right ventricular infarction and distal left anterior descending branch occlusion

J Electrocardiol. 2011 May-Jun;44(3):383-8. doi: 10.1016/j.jelectrocard.2011.02.002.

Abstract

Seven cases are reported of acute right coronary artery occlusion and predominantly right ventricular myocardial infarction with typical ST-segment elevation in the precordial leads resembling acute anterior wall myocardial infarction. These electrocardiograms were compared with those of 5 unselected patients who had combined inferior and anterior ST-segment elevation due to a distal occlusion of the left anterior descending artery. In this manuscript, the electrocardiographic features of both conditions are briefly discussed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arrhythmias, Cardiac / physiopathology
  • Coronary Occlusion / diagnosis*
  • Coronary Occlusion / physiopathology*
  • Diagnosis, Differential
  • Electrocardiography / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / diagnosis*
  • Myocardial Infarction / physiopathology*
  • Ventricular Dysfunction, Right / diagnosis*
  • Ventricular Dysfunction, Right / physiopathology*