Anterior wall ST-elevation myocardial infarction in biventricular paced rhythm.
作者信息
Pilecky David, Fischer Robert, Wiesinger Tanja, Gröbner Michael, Vamos Mate, Elsner Dietmar
机构信息
Department of Internal Medicine III, Klinikum Passau, Innstraße 76, 94032, Passau, Germany.
2nd Department of Medicine and Cardiology Center, University of Szeged, Szeged, Hungary.
出版信息
Herzschrittmacherther Elektrophysiol. 2020 Jun;31(2):228-231. doi: 10.1007/s00399-020-00682-y. Epub 2020 May 2.
There is a lack of evidence on electrocardiographic criteria for ST-elevation myocardial infarction (STEMI) in patients with biventricular paced rhythm. In all previous case reports of STEMI in biventricular paced rhythm, concordant ST-elevations and/or discordant ST-elevations >5 mm were present. This report describes the case of a patient with anterior STEMI and discordant ST-elevations of less than 5 mm during biventricular stimulation with epicardial left ventricular lead and highlights the importance of comparing the electrocardiogram to previous recordings when STEMI is suspected.
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