Isolated Right Ventricular Infarction Mimicking Anterior ST-Segment Elevation
Published: April 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7599
Onur Baydar, Veysel Oktay, Ugur Coskun, Ahmet Yildiz, Tevfik Gurmen
1. Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
2. Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
3. Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
4. Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
5. Professor, Department of Cardiology, Institute of Cardiology, Istanbul University, Istanbul, Turkey.
Correspondence
Dr. Onur Baydar,
Instructor, Department of Cardiology, Institute of Cardiology, Istanbul University,
Haseki, Aksaray 34350, Istanbul/Turkey.
E-mail: dr.onurbaydar@hotmail.com
Acute coronary syndromes in patients with presence of ST-segment elevation in the anterior precordial leads indicates left anterior descending coronary artery occlusion. However, anterior ST-segment elevation has also been described in right ventricular myocardial infarction and is thought to be due to right coronary artery (RCA) occlusion. We present a rare case of isolated RVMI presenting with anterior ST-segment elevation due to proximal occlusion of a right coronary artery that was treated by primary coronary angioplasty. Primary coronary angioplasty and stenting of this artery was performed resulting in resolution of the chest pain and ST- segment elevation.
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