title: A case of unusual electrocardiographic presentation of right ventricular myocardial infarction.
abstract: This is a case of an unusual electrocardiographic manifestation of a patient with right ventricular (RV) myocardial infarction occurring in association with left ventricular inferoposterior myocardial infarction. There was massive ST-segment elevation in the precordial leads resembling that of an anterior myocardial infarct in addition to the ST-segment elevation seen normally in right ventricular leads. Two-dimensional echocardiography confirmed right ventricular hypokinesia and coronary angiography revealed single-vessel coronary artery disease involving the right coronary artery. It served to remind us that the presence of diffuse and massive ST-segment elevation in the precordial leads in a patient with inferior myocardial infarction may indicate simultaneous RV infarction and warrants further confirmatory tests.
authors.affiliation: Cardiac Department, National University Hospital, Singapore.
authors.forename: H C
authors.initials: HC
authors.lastname: Tan
authors.forename: T C
authors.initials: TC
authors.lastname: Yeo
authors.forename: Y T
authors.initials: YT
authors.lastname: Lim
authors.forename: B L
authors.initials: BL
authors.lastname: Chia
mesh_terms: D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000000981:diagnostic imaging