T wave inversions on an electrocardiogram (EKG) can manifest from any process that result in a relative delay in regional ventricular repolarization. The differential diagnosis of right precordial T wave inversions, leads V1-V3, include myocardial ischemia, a normal athlete’s heart, arrhythmogenic right ventricular dysplasia, and pulmonary embolism amongst others. The case discussed below is of...

please cite this article as : taherpour z, seyedian m, alasti m. simultaneous right coronary artery spasm in a patient with anterior st-segment elevation myocardial infarction: a case report. novel biomed 2013;1:29-33. simultaneous occlusion of two vessels causing infarction at different territories is an uncommon finding. we report simultaneous right ventricular and anterior st-segment elevati...

A 30-year-old man without any cardiovascular history was transferred to our hospital because of chest pain. On arrival, his blood pressure was 166/93 mm Hg, with a pulse rate of 58 bpm. His oxygen saturation level was 98%. His ECG showed normal sinus rhythm, with poor R-wave progression in the precordial leads (Figure, A). The white blood cell count was 7990/mm, and the level of creatine kinase...

Surface mapping of the exercise electrocardiogram (ECG) provides a measure of the precordial area, severity, and time course of ST-segment changes occurring after exercise. Sixteen-lead isopotential surface maps were recorded before and after exercise in 109 patients with probable angina who subsequently underwent coronary arteriography. In addition, exercise ECGs with three orthogonal leads we...

A 52-year-old woman with a history of hypertension and hyperlipidaemia presented to our institution with a 4-hour history of severe, compressing chest pain. A 12-lead electrocardiogram (ECG) showed STelevation involving leads I and aVL, while the anterior precordial leads were unremarkable (Fig 1a). The provisional diagnosis was a non–high-risk high-lateral myocardial infarction (MI) due to dia...

Precordial electrocardiographic mapping has been proposed as a method for evaluating the extent of myocardial injury in patients with acute myocardial infarction. To assess the relationship between direct measures of myocardial cell damage and findings obtained by precordial mapping, the left anterior descending coronary artery (LAD) was occluded in dogs instrumented for simultaneous recording ...

Acute occlusion of the left anterior descending coronary artery (LAD) generally results in ST segment elevations in precordial leads and reciprocal ST segment depression in inferior leads. The occurrence of isolated inferior myocardial infarction due to occlusion of LAD is very rare. We describe an isolated acute inferior myocardial infarction due to occlusion of a wrapped LAD at the apex which...

BACKGROUND Perioperative myocardial ischemia is conventionally monitored using five electrocardiographic leads, with only one precordial lead placed at V5. This is based on studies from more than a decade ago. The authors reassessed this convention by analyzing data obtained from continuous on-line 12-lead electrocardiographic monitoring. METHODS One hundred eighty-five consecutive patients u...