Open AccessAcute inferior myocardial infarction with right ventricular involvement and several clinical‐electrocardiographic markers of poor prognosis
Author(s) -
GarcíaNiebla Javier,
PérezRiera Andrés Ricardo,
BarbosaBarros Raimundo,
DíazMuñoz Jorge,
DaminelloRaimundo Rodrigo,
Abreu Luiz Carlos,
Nikus Kjell
Publication year - 2019
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.12592
Subject(s) - medicine , cardiology , j wave , myocardial infarction , distension , shock (circulatory) , precordial examination , qrs complex , electrocardiography , st segment , chest pain
Right ventricular involvement in inferior myocardial infarction is a marker of poor prognosis. We present a case of a 62‐year‐old man with very recent onset of acute chest pain and cardiac shock with the triad of elevated jugular venous pressure, distension of the jugular veins on inspiration, and clear lung fields. In addition, the admission electrocardiogram showed a slurring J wave or lambda‐like wave and conspicuous ST segment depression in several leads, predominantly in the lateral precordial (V4–V6), all clinical‐electrocardiographic features of ominous prognosis.