Acute right ventricular infarction mimicking extensive anterolateral wall injury.
A patient presented with an acute right ventricular infarction characterized by an electrocardiographic current of injury in both the inferior (2,3,aVF) and anterior precordial leads (V1-V6). Cardiac catheterization demonstrated normal left ventricular wall motion, a codominant circulation, and severe disease of the right coronary artery. We propose that this coronary anatomy explains the injury currents on the electrocardiogram. This case illustrates a rare presentation of right ventricular myocardial infarction mimicking an extensive anterolateral wall injury.
Fernandez
A R
AR
Department of Medicine, University of Miami School of Medicine.
deMarchena
E J
EJ
Sequeira
R F
RF
Kessler
K M
KM
D017023:Coronary Angiography; D004562:Electrocardiography; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology