Saito S, Watanabe I, Hibiya K, Honye J, Moriuchi M, Ozawa Y, Kanmatsuse K
Second Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Jpn Heart J. 1998 Mar;39(2):221-4. doi: 10.1536/ihj.39.221.
ST-segment alternans has been described in experimental coronary artery occlusion and in patients with variant angina. It is also seen during coronary angioplasty. This report describes a patient who on balloon inflation during coronary angioplasty demonstrated ST-segment alternans only on intracoronary electrocardiogram but did not on surface 12 lead electrocardiogram. Hemodynamic pulsus alternans of the aortic pressure tracing was not observed during electrical alternans.