Open AccessIsolated right ventricular infarction presenting as anterior wall myocardial infarction on electrocardiography
Author(s) -
Porter Avital,
Herz Itzhak,
Strasberg Boris
Publication year - 1997
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960201115
Subject(s) - medicine , electrocardiography , cardiology , myocardial infarction , infarction , electrocardiography in myocardial infarction , anterior wall
Isolated right ventricle infarction is extremely rare, and its electrocardiographic (ECG) signs may be misinterpreted or even missed, especially when a typical clinical picture is lacking. This paper describes a case of isolated right ventricle infarction, recognized only by echocardiography. The patient presented with ST‐segment elevation in left precordial leads together with minimal ST‐segment elevation in inferior leads on a 12‐lead ECG. Angiography revealed the culprit right coronary artery, which was small and non‐dominant. No significant obstructions were found in the left anterior descending artery. This case demonstrates that the ECG appearance of isolated right ventricle infarction may mimic anterior wall infarction and can be easily missed if not suspected.