Abstract
BackgroundThe occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the ST-segment elevation associated with a tall and peaked T wave in precordial leads.Case presentationWe reported a case who suffered from typical chest pain and tall and positively symmetrical T waves in leads V2–6, J point depression with upsloping ST-segment depression. However, the coronary angiogram demonstrated a 100% occlusion of midshaft LAD artery.ConclusionsRecognition of this atypical electrocardiogram (ECG) pattern can ensure immediate reperfusion therapy regarding acute myocardial infarction.
Highlights
The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the STsegment elevation associated with a tall and peaked T wave in precordial leads
We report a case of a 100% occlusion of midshaft left anterior descending (LAD) artery demonstrated by a coronary angiogram
Our patient suffered from typical chest pain and the coronary angiogram demonstrated a 100% occlusion of midshaft LAD artery
Summary
The occlusion of the left anterior descending coronary artery (LAD) is usually characterized by the STsegment elevation associated with a tall and peaked T wave in precordial leads. We report a case of a 100% occlusion of midshaft left anterior descending (LAD) artery demonstrated by a coronary angiogram. Tall and positively symmetrical T waves in leads V2-V6 with J point depression without ST-segment elevation.
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