A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coron...A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coronary artery (RCA) and no significant stenosis in left anterior descending coronary artery (LAD). The occlusion of a non-dominant RCA may result in anterior ST-segment elevation ECG changes, which could disorient both general and interventional cardiologists.展开更多
文摘A 51-year-old man presented to the emergency department with acute substernal chest pain. ECG showed ST-segment elevation in the left precordial leads. Coronary angiography demonstrated an occlusion of the right coronary artery (RCA) and no significant stenosis in left anterior descending coronary artery (LAD). The occlusion of a non-dominant RCA may result in anterior ST-segment elevation ECG changes, which could disorient both general and interventional cardiologists.