The rare cause of ST segment elevation in left precordial leads - Diagnostic clues from subtle waveforms

Honglin Ni; Qingcheng Wang; Wenbo Xu; Mengwei Xu; Weixun Cai

doi:10.1016/j.jelectrocard.2024.04.005

The rare cause of ST segment elevation in left precordial leads - Diagnostic clues from subtle waveforms

J Electrocardiol. 2024 Apr 25:84:151-154. doi: 10.1016/j.jelectrocard.2024.04.005. Online ahead of print.

Authors

Honglin Ni¹, Qingcheng Wang², Wenbo Xu¹, Mengwei Xu³, Weixun Cai⁴

Affiliations

¹ Jiaxing First Hospital, Affiliated Hospita of Jiaxing University, Jiaxing 314000, Zhejiang, China.
² Hangzhou Linping Hospital of Traditional Chinese Medicine, 310006 Zhejiang, China.
³ Hangzhou Linping Hospital of Traditional Chinese Medicine, 310006 Zhejiang, China. Electronic address: 84207848@qq.com.
⁴ Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou 310014, Zhejiang, China. Electronic address: cwx104032@163.com.

PMID: 38701692
DOI: 10.1016/j.jelectrocard.2024.04.005

Abstract

We report a case of ST segment elevation in left precordial leads with a convex shape caused by a rare etiology. By carefully analyzing the electrocardiogram (leads I, II, V3 to V9) of a patient with convex ST segment elevation in the left-sided chest leads, relevant etiological clues were derived. The findings were further supported by cardiac ultrasound and cardiac magnetic resonance imaging, ruling out other common causes. Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) was postulated as the underlying cause, and potential mechanisms were discussed. The diagnosis was further confirmed through a follow-up period of over three years.

Keywords: ARVC; Left ventricle; ST segment elevation.