Posterior infarction: a STEMI easily missed

Cardiovasc J Afr. 2020 Nov-Dec;31(6):331-334. doi: 10.5830/CVJA-2020-059.

Abstract

Anterior ST-segment depression encompasses important differential diagnoses, including ST-segment elevation myocardial infarction, non-ST-segment elevation myocardial infarction and pulmonary embolism. Diagnostic accuracy is crucial, as this has important therapeutic implications. This ECG case report reviews the electrocardiographic changes seen in patients with chest pain and anterior ST-segment depression.

Keywords: ECG; NSTEMI; STEMI; pulmonary embolism.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anterior Wall Myocardial Infarction / diagnosis*
  • Anterior Wall Myocardial Infarction / physiopathology
  • Anterior Wall Myocardial Infarction / therapy
  • Coronary Angiography
  • Diagnosis, Differential
  • Electrocardiography*
  • Female
  • Humans
  • Predictive Value of Tests
  • ST Elevation Myocardial Infarction / diagnosis*
  • ST Elevation Myocardial Infarction / physiopathology
  • ST Elevation Myocardial Infarction / therapy