Anterior ST-segment elevation secondary to right coronary occlusion: The sheep in wolf's clothing

J Electrocardiol. 2018 Nov-Dec;51(6):935-937. doi: 10.1016/j.jelectrocard.2018.07.017. Epub 2018 Jul 23.

Abstract

We present a case of an anterior ST-segment elevation acute coronary syndrome secondary to occlusion of a non-dominant right coronary artery. Usually, an anterior ST-segment elevation corresponds to a left anterior descending artery occlusion; however, in rare cases it can be secondary to a non-dominant right coronary artery occlusion. The two causal entities may be adequately differentiated by the detailed analysis of the ECG. The electrocardiographic criteria that allow the proper prediction of the culprit artery in anterior ST-segment elevation acute coronary syndrome are reviewed.

Keywords: Anterior ST-segment elevation; Localization culprit artery; Right coronary artery.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / diagnosis*
  • Acute Coronary Syndrome / etiology*
  • Acute Coronary Syndrome / physiopathology
  • Contrast Media
  • Coronary Angiography
  • Coronary Occlusion / complications*
  • Coronary Occlusion / diagnosis*
  • Coronary Occlusion / physiopathology
  • Diagnosis, Differential
  • Electrocardiography*
  • Humans
  • Magnetic Resonance Imaging, Cine
  • Male
  • Middle Aged

Substances

  • Contrast Media