title: ECG findings in acute left main coronary artery thrombosis: a case report and review of the literature.
abstract: Acute coronary syndrome due to left main coronary artery (LMCA) thrombosis is a catastrophic event associated with poor prognosis and high in-hospital mortality. Early recognition and emergent revascularization is vital for survival. Unfortunately, the electrocardiographic manifestations of LMCA thrombosis are nonspecific. This report describes the electrocardiogram (ECG) findings in a patient with LMCA thrombosis. A new right bundle branch block (RBBB) pattern, especially when associated with ST elevation in aVR and V1, should raise suspicion of this diagnosis.
authors.affiliation: Department of Medicine, Section of Cardiology, Hospital of Saint Raphael, 1450 Chapel Street, New Haven, Connecticut 06511, USA. cionescu@srhs.org
authors.forename: Costin N
authors.initials: CN
authors.lastname: Ionescu
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Donohue
mesh_terms: D054058:Acute Coronary Syndrome / Q000209:etiology / Q000628:therapy; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*