title: Right ventricular infarction mimicking anterior infarction.
abstract: It is rare to observe ST elevation in anterior derivations caused by right ventricular branch occlusion. We described the case of a patient with unstable angina who developed acute right ventricular myocardial infarction with ST-segment elevation in anterior precordial leads (V(1)-V(4)) shortly after coronary angiography. Coronary angiogram revealed total occlusion of the right coronary artery (RCA) proximally to the right ventricular branch. This reminds us that the presence of diffuse ST-segment elevation in the precordial leads could be due to acute RCA occlusion. The differentiation of these two entities is important, as their therapies are quite different.
authors.affiliation: 1st Department of Cardiology, Hippokration Hospital, University of Athens, Greece. mvav@otenet.gr
authors.forename: Manolis
authors.initials: M
authors.lastname: Vavuranakis
authors.forename: Maria
authors.initials: M
authors.lastname: Drakopoulou
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Toutouzas
authors.forename: Dilaveris
authors.initials: D
authors.lastname: Polychronis
authors.forename: Christodoulos
authors.initials: C
authors.lastname: Stefanadis
mesh_terms: D000789:Angina, Unstable / Q000503:physiopathology; D015906:Angioplasty, Balloon, Coronary; D003287:Contrast Media; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D015607:Stents
chemical_list: D003287:Contrast Media