[A new ECG marker of anterior acute myocardial infarction].
ST-segment elevation is the hallmark of acute transmural myocardial ischemia caused by acute occlusion of a coronary artery. ST-segment elevation is the major criterion for the patients with chest pain to immediate reperfusion therapy. Despite its clinical importance, the mechanism of ST-elevation remains unclear. Two patients are reported with proximal left anterior descending coronary occlusion but without ST-segment elevation. The distinct ECG patterns were tall, with symmetrical T-waves and upsloping and digoxin-like ST-segment depression. Patients with these ECG patterns need immediate coronary intervention.
Tomcsányi
János
J
Budai Irgalmasrendi Kórház Kardiológia Osztály Budapest. tomcsanyi.janos@t-online.hu
Nényei
Zoltán
Z
Sármán
Balázs
B
Arabadzisz
Hrisula
H
Zsoldos
András
A
Frész
Tamás
T
D000328:Adult; D000368:Aged; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D004562:Electrocardiography; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male