"Tombstone" ST segment elevation of acute myocardial infarction

ST-Segment Elevation in Acute Myocardial Infarction

Four hundred and four patients who were admitted to the hospital with their first myocardial infarction within 24 hours of the onset of symptoms were studied. In 315 patients the ECG findings in 12 standards leads (I, II, aVF, aVR, aVL, V,-V6) showed the infarction to be in the anterior wall, the inferior wall, or in multiple areas. The patients in each of these three categories were further su...

Myocardial Hemorrhage After Acute Reperfused ST-Segment–Elevation Myocardial Infarction

Severe Hyperthyroidism Presenting with Acute ST Segment Elevation Myocardial Infarction

Introduction. Acute myocardial infarction is life-threatening. A cardiac troponin rise accompanied by typical symptoms, ST elevation or depression is diagnostic of acute myocardial infarction. Here, we report an unusual case of a female who was admitted with chest pain. However, she did not present with a typical profile of an acute myocardial infarction patient. Case Presentation. A 66-year-ol...

Cardiac compression causing fatal acute ST-segment elevation myocardial infarction.

A 71-year-old woman presented 2 weeks after thoracic endovascular repair of a mycotic descending aortic aneurysm. One week after discharge she presented with chest pain and transient lateral STsegment elevation on electrocardiogram (Figure 1a). Urgent computerized tomography (CT) scanning (Figure 1B) demonstrated no evidence of endovascular leak or aortic dissection. Her symptoms recurred with ...

Acute ST-segment elevation myocardial infarction: critical care perspective.

More than 1.2 million patients suffer from new or recurrent ischemic events occur annually. This includes an estimated 565,000 cases of first and 300,000 cases of recurrent myocardial infarction (MI). Although mortality from acute MI has declined in recent years, it still remains high at 25% to 30%. Despite its high mortality, prognosis can be improved with timely and effective use of evidence-...