‘Balanced ischaemia’ on ECG in dual territory STEMI | Zendy

Iswaree Devi Balakrishnan | Zendy; Chee Yang Chin | Zendy; Louis LY Teo | Zendy; Boon Yew Tan | Zendy; Khung Keong Yeo | Zendy

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‘Balanced ischaemia’ on ECG in dual territory STEMI

Author(s) -

Iswaree Devi Balakrishnan,

Chee Yang Chin,

Louis LY Teo,

Boon Yew Tan,

Khung Keong Yeo

Publication year - 2018

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omy043

Subject(s) - medicine , cardiology , culprit , electrocardiography , coronary artery occlusion , myocardial infarction , ischemia , st elevation , dual (grammatical number) , occlusion , art , literature

Culprit lesion identification in ST elevation myocardial infarction (STEMI) is often guided by electrocardiogram (ECG) changes. However, in the setting of multi-vessel coronary artery occlusion, this can be challenging. We describe an interesting case of dual territory STEMI with unanticipated ECG changes that bring forth the concept of 'balanced ischaemia'. These seemingly bizarre findings are well explained using the fundamentals of electrocardiography reinstating its relevance in modern day cardiology.

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