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Vol. 1 No. 1 (2013)

May 2013

Simultaneous right coronary artery spasm in a patient with Anterior ST-Segment Elevation Myocardial Infarction: a case report

  • Zhiva Taherpour
  • Seyed Masoud Seyedian
  • Mohammad Alasti

Novelty in Biomedicine, Vol. 1 No. 1 (2013), 18 May 2013 , Page 29-33
https://doi.org/10.22037/nbm.v1i1.4489 Published: 2013-05-18

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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.

Keywords:
  • ST Segment Elevation Myocardial Infarction
  • Coronary Artery Spasm
  • Right Ventricle
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How to Cite

Taherpour, Z., Seyedian, S. M., & Alasti, M. (2013). Simultaneous right coronary artery spasm in a patient with Anterior ST-Segment Elevation Myocardial Infarction: a case report. Novelty in Biomedicine, 1(1), 29–33. https://doi.org/10.22037/nbm.v1i1.4489
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References

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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.

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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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