Junctional ST-depression and tall symmetrical T-waves with an obtuse marginal artery occlusion: A case report

2019 ◽  
Vol 54 ◽  
pp. 40-42 ◽  
Author(s):  
Weiwei Xu ◽  
He Zou ◽  
Shiwei Huang
Keyword(s):  
Case Report ◽  
Artery Occlusion ◽  
Marginal Artery ◽  
St Depression ◽  
Obtuse Marginal ◽  
T Waves

scholarly journals A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report

2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092720
Author(s):  
Zhong-Qun Zhan ◽  
Yang Li ◽  
Li-Hao Wu ◽  
Li-Hong Han
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Early Recognition ◽  
Coronary Artery Occlusion ◽  
Coronary Intervention ◽  
Artery Occlusion ◽  
Left Main ◽  
St Depression ◽  
Life Saving ◽  
T Waves

A de Winter electrocardiographic (ECG) pattern comprising precordial junctional ST depression followed by tall, positive symmetrical T waves in leads V1/V2 to V4/V6 is often concomitant with ST elevation in lead aVR. This finding strongly suggests proximal left anterior descending coronary artery occlusion. We described a patient who had the de Winter ECG pattern in leads V2 to V4 by acute left main coronary artery (LMCA) occlusion. The ECG also showed maximal ST depression in leads V4 to V5 and inverted T waves in leads V5 to V6. This finding indicated a global subendocardial ischemia ECG pattern, which suggested LMCA or three-vessel disease. Early recognition of this ECG manifestation is important for averting a disastrous prognosis in acute LMCA occlusion because emergent coronary intervention may be life-saving.

scholarly journals The “Spiked Helmet” Sign Associated with ST-Elevation Myocardial Infarction: A Case Report

2021 ◽  
Vol 2 (5) ◽  
pp. 152-154
Author(s):  
Bruno Minotti ◽  
Jörg Scheler ◽  
Robert Sieber ◽  
Eva Scheler
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Coronary Artery ◽  
Case Series ◽  
Coronary Artery Occlusion ◽  
Artery Occlusion ◽  
St Elevation Myocardial Infarction ◽  
St Depression ◽  
Cardiac Illness ◽  
St Elevation

Introduction: The “spiked helmet” sign was first described in 2011 by Littmann and Monroe in a case series of eight patients. This sign is characterized by an ST-elevation atypically with the upward shift starting before the onset of the QRS complex. Nowadays the sign is associated with critical non-cardiac illness. Case Report: An 84-year-old man with a history of three-vessel disease presented to the emergency department with intermittent pain in the upper abdomen. The electrocardiogram revealed the “spiked helmet” sign. After ruling out non-cardiac conditions the catherization lab was activated. The coronary angiography revealed an acute occlusion of the right coronary artery, which was balloon-dilated followed by angioplasty. The first 24 hours went uneventfully with resolution of the “spiked helmet” sign. On the second day, however, the patient died suddenly and unexpectedly. Conclusion: Despite the association with non-cardiac illness, the “spiked helmet” sign can be seen by an acute coronary artery occlusion as an ST-elevation myocardial infarction (STEMI). Reciprocal ST-depression in these cases should raise the suspicion of STEMI.

scholarly journals Intimal sarcoma arising from the common iliac artery presenting with artery occlusion : a case report and literature review

2019 ◽  
Vol 66 (1.2) ◽  
pp. 205-208 ◽  
Author(s):  
Masashi Kano ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Fumio Chikugo ◽  
Eiji Kudo ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Occlusion ◽  
Intimal Sarcoma ◽  
The Common
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