Tombstone ST Segment Elevation in Double Vessel Coronary Artery Disease; “Who is the Culprit?”

نویسندگان

  • Yutthapong Temtanakitpaisan
  • Renee Dallasen
  • Craig S. Smith
چکیده

We describe a 66 year-old male who presented with chest pain and ST segment elevation in the anterior leads. The typical culprit lesion is in the left anterior descending artery (LAD). However, concomitant lesions in the other coronary arteries may make an accurate diagnosis of the actual “culprit lesion” more challenging. Understanding the electrical basis of electrocardiograms can provide important clues in identifying and treating the true lesion. Figure 1: ECG demonstrates tombstone ST elevation in lead V2-V4. * Journal of Cardiovascular Diseases & Diagnosis J o u r n a l o f C ar dio vas cular Dases & ia g n o s i s ISSN: 2329-9517 Citation: Temtanakitpaisan Y, Dallasen R, Smith CS (2015) Tombstone ST Segment Elevation in Double Vessel Coronary Artery Disease; “Who is the Culprit?”. J Cardiovasc Dis Diagn 3: 211. doi:10.4172/2329-9517.10002111000207

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تاریخ انتشار 2015