Right ventricular infarction mimicking anterior infarction.
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.
Vavuranakis
Manolis
M
1st Department of Cardiology, Hippokration Hospital, University of Athens, Greece. mvav@otenet.gr
Drakopoulou
Maria
M
Toutouzas
Konstantinos
K
Polychronis
Dilaveris
D
Stefanadis
Christodoulos
C
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
D003287:Contrast Media