Abstract
A 53 years old female patient with hypertension presented with constrictive retrosternal chest pain. Initial Electrocardiogram (ECG) showed ST elevation in aVR and high level cardiac Troponin-I. Thrombolysis with streptokinase was performed and she underwent coronary angiography who showed a long tight anterior inter ventricular lesion, occlusion of the proximal circumflex and an intermediate lesion of segment 2 of the right coronary.
Highlights
We reported a rare and severe case of ST elevation myocardial infarction (STEMI) in aVR
Acute coronary syndrome was suspected and a ECG taken within 10 minutes showed persistent 3 mm ST elevation in lead aVR and depression of the ST segment in the lateral leads V4, V5, D1 and aVL (Figure 1)
ST segment elevation in aVR compared with a normal ST segment in V1 is strongly suggestive of myocardial infarction
Summary
Http://creativecommons.org/licenses/by/4.0/ Electrocardiogram (ECG) is the key first-line examination for the diagnosis of. If persistent ST segment displacement is the early abnormality typical to myocardial infarction, its localization can sometimes misguide the diagnosis and management [1] [2]. We reported a rare and severe case of ST elevation myocardial infarction (STEMI) in aVR
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