Persistent precordial "hyperacute" T-waves signify proximal left anterior descending artery occlusion

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Persistent precordial "hyperacute" T-waves signify proximal left anterior descending artery occlusion.

OBJECTIVE To describe patients with a distinct electrocardiogram (ECG) pattern without ST-segment elevation in the presence of an acute occlusion of the proximal left anterior descending (LAD) artery. DESIGN Single-centre observational study. PATIENTS Patients with acute anterior wall myocardial infarction who were referred for primary percutaneous coronary intervention (PCI) between 1998 a...

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Wellens' Syndrome with a proximal left anterior descending artery occlusion

The case is a 52-year-old male admitted to cardiology department with chest tightness. Admission ECG showed nontypical T-wave changes in V2-V4 leads in pain peroids, and increasing severe narrowing of proximal LAD. Cardiac enzymes were abnormal. Emergency coronary angiography showed severe stenosis (99%) in proximal LAD.

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Normal electrocardiogram in a patient with an acute proximal left anterior descending coronary artery occlusion.

We report the case of an acute proximal occlusion of the left anterior descending (LAD) coronary artery, possibly due to exercise-induced dissection, in a previously well 43-year-old man with persistently normal electrocardiograms (ECG) and cardiac enzymes throughout his hospitalisation. In LAD lesions, ECG repolarisation abnormalities usually reflect the underlying acute coronary event; howeve...

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CongenItal Anomallous Origin of Left Anterior Descending Artery from RIight Coronary Artery

​Congenital anomalies of the coronary arteries have been a known subject  since the advent of cardiac angiography, and has been a subject of special interest by both cardiologists and cardiac surgeons,  We have tried in this article to present a case of anomalous origin of LAD from RCA (RMT) in a 55 year old lady (Mrs. B.J.) and to completely dis­cuss this subject. It's worthmentioning that thi...

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Association Between Left Anterior Descending Artery Length with Coronary Artery Dominance: An Angiographic Study

Introduction: Although left anterior descending (LAD) artery supplies a large portion of the myocardium, the amount of blood supply provided by LAD is depended on the length of the LAD. The aim of the current study was to evaluate the association between coronary artery dominance and LAD anatomic types in patients with normal epicardial coronary arteries. Methods:...

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ژورنال

عنوان ژورنال: Heart

سال: 2009

ISSN: 1355-6037

DOI: 10.1136/hrt.2009.174557