Chest pain with ST-elevation in leads AVR, III, AVF, V1, V3R, V4R and V5R

Yuehai Wang; Yuqiang Zhang; Yan Wang; Changpeng Zhai; Jie Gao; Guangyong Huang; Shengjun Ma

doi:10.1080/10641963.2022.2153134

Chest pain with ST-elevation in leads AVR, III, AVF, V₁, V_3R, V_4R and V_5R

Clin Exp Hypertens. 2023 Dec 31;45(1):2153134. doi: 10.1080/10641963.2022.2153134.

Authors

Yuehai Wang¹, Yuqiang Zhang¹, Yan Wang², Changpeng Zhai¹, Jie Gao³, Guangyong Huang¹, Shengjun Ma¹

Affiliations

¹ Heart Center, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, PR China.
² Department of Respiratory and Critical Care Medicine, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to Shandong First Medical University, Liaocheng, PR China.
³ Heart Center, Liaocheng People's Hospital and Liaocheng Hospital Affiliated to WEIFANG MEDICAL UNIVERSITY, Liaocheng, PR China.

PMID: 36484289
DOI: 10.1080/10641963.2022.2153134

Abstract

We mistakenly diagnosed a patient with pulmonary embolism as ST-elevation acute myocardial infarction. The case complained of chest pain with ST-elevation in leads AVR, III, AVF, V₁, V_3R, V_4R and V_5R. In addition, we also found ST- elevation _{AVR, III}>ST- elevation _AVF, Q_III>Q_AVF and Q_V1. Multi-site pulmonary embolism can lead to type 2 myocardial infarction or special type of myocardial infarction with non-obstructive coronary arteries through multiple pathological mechanisms.

Keywords: AVF; AVR; Chest pain; III; MINOCA; ST-elevation; STEMI; V1; V3R; V4R and V5R; pulmonary embolism.

MeSH terms

Chest Pain / diagnosis
Chest Pain / etiology
Humans
Pulmonary Embolism* / diagnosis
Pulmonary Embolism* / diagnostic imaging
ST Elevation Myocardial Infarction* / complications
ST Elevation Myocardial Infarction* / diagnosis