North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.
Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago.
J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231192861. doi: 10.1177/23247096231192861.
The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded "widow-maker" lesion (100% occluded proximal left anterior descending [LAD] artery) and severe multivessel disease (90% stenosis of the posterior left ventricular [PLV] artery and 80% stenosis of the left circumflex artery [LCx]).
南非旗帜征(SAGS)是一种急性、动态的心电图(ECG)表现,通常与第一对角支(D 支)动脉阻塞相关。我们报告了一例 47 岁女性出现这种模式的病例,但随后发现了可怕的“寡妇制造者”病变(近端左前降支[LAD] 100%闭塞)和严重的多血管病变(左心室后支[PLV] 90%狭窄和左回旋支[LCx] 80%狭窄)。