Open AccessChest pain showing precordial ST-segment elevation in a 96-year-old woman with right coronary artery occlusion: A case report
Author(s) -
Hao-Yu Wu,
Gong Cheng,
Yiwei Cao
Publication year - 2021
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v9.i8.1877
Subject(s) - medicine , chest pain , st segment , precordial examination , cardiology , st elevation , right coronary artery , occlusion , elevation (ballistics) , electrocardiography , coronary angiography , myocardial infarction , geometry , mathematics
Typically, right coronary artery (RCA) occlusion causes ST-segment elevation in inferior leads. However, it is rarely observed that RCA occlusion causes ST-segment elevation only in precordial leads. In general, an electrocardiogram is considered to be the most important method for determining the infarct-related artery, and recognizing this is helpful for timely discrimination of the culprit artery for reperfusion therapy. In this case, an elderly woman presented with chest pain showing dynamic changes in precordial ST-segment elevation with RCA occlusion.