Open AccessClinical Significance of Upsloping ST Depression on Resting Electrocardiogram
Author(s) -
Khalid Umair,
Birnbaum Yochai
Publication year - 2016
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12273
Subject(s) - medicine , palpitations , depression (economics) , st depression , cardiology , supraventricular tachycardia , chest pain , electrocardiography , tachycardia , ischemia , anesthesia , st segment , myocardial infarction , economics , macroeconomics
Upsloping ST depression is generally not associated with myocardial ischemia, yet there have been published reports that suggest otherwise. Case History A 34‐year‐old pregnant female presented with chest pain and palpitations. She was found to have supraventricular tachycardia, which resolved with intravenous adenosine. Few minutes later her ECG showed upsloping ST depression in leads V4–V6 that persisted for 1 hour after the resolution of the tachycardia. The patient was discharged in stable condition with outpatient follow‐up. Conclusion Upsloping ST depression in resting electrocardiogram may indicate cardiac ischemia in the presence of active cardiac symptoms. In the absence of ongoing symptoms however, it may be secondary to conditions other than ischemia.