Simultaneous right coronary artery spasm in a patient with Anterior ST-Segment Elevation Myocardial Infarction: a case report
Novelty in Biomedicine,
Vol. 1 No. 1 (2013),
18 May 2013
,
Page 29-33
https://doi.org/10.22037/nbm.v1i1.4489
Abstract
Please cite this article as: Taherpour Z, Seyedian M, Alasti M. Simultaneous right coronary artery spasm in a patient with Anterior ST-Segment Elevation Myocardial Infarction: a case report. Novel Biomed 2013;1:29-33.
Simultaneous occlusion of two vessels causing infarction at different territories is an uncommon finding. We report simultaneous right ventricular and anterior ST-segment elevation myocardial infarction in a previously healthy young man.
The angiographic results demonstrated the simultaneous occlusion of the right and left coronary arteries because of simultaneous occlusion of left anterior descending artery (LADA) and spasm of right coronary artery (RCA). In this patient, we found simultaneous ST elevations in right and precordial leads so everyone should be careful about all leads of the surface electrocardiogram for decision making in the management of a patient.
- ST Segment Elevation Myocardial Infarction
- Coronary Artery Spasm
- Right Ventricle
How to Cite
References
Lewis GD, Holmes CB, Holmvang G, Butterton JR. Case records of the Massachusetts General Hospital. Case 8-2007. A 48-year-old man with chest pain followed by cardiac arrest. N Engl J Med. 2007 Mar 15;356(11):1153-62.
Zimetbaum PJ, Josephson ME. Use of the electrocardiogram in acute myocardial infarction. N Engl J Med. 2003 Mar 6;348(10):933-40.
Wang K, Asinger RW, Marriott HJ. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349(22):2128-35.
Muhammad KI, Kapadia SR. Anterior ST-segment elevation with right coronary artery occlusion: a unique case of isolated
right ventricular infarction. Angiology. 2008;59(5):622-4.
Andreou AY, Ioannides MA, Georgiou GM, Avraamides PC. Diffuse precordial ST-segment elevation in inferior-right myocardial infarction. Cardiol J. 2010;17(6):628-31.
Halkett JA, Commerford PJ, Millar RS. Right ventricular infarction mimicking extensive anterior infarction. Chest. 1986 Oct;90(4):617-9.
Geft IL, Shah PK, Rodriguez L, Hulse S, Maddahi J, Berman DS, et al. ST elevations in leads V1 to V5 may be caused by right coronary artery occlusion and acute right ventricular infarction. Am J Cardiol. 1984 Apr 1;53(8):991-6.
Vincent GM, Anderson JL, Marshall HW. Coronary spasm producing coronary thrombosis and myocardial infarction. N Engl J Med. 1983 Jul 28;309(4):220-3.
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