ORCID
0000-0001-6210-9667 (Lo), 0009-0009-4322-3697 (Schaffer)
Document Type
Article
Publication Date
2024
DOI
10.5811/cpcem.35284
Publication Title
Clinical Practice and Cases in Emergency Medicine
Volume
9
Issue
1
Pages
109-110
Abstract
Case Presentation: A 33 year old female with a history of antiphospholipid syndrome presented with exertional chest pain and ST-elevation in aVR with diffuse ST-depression. An emergent catheterization was performed which showed an isolated 99% stenosis in the left main coronary artery. The remaining coronary arteries were without any stenosis. Successful stent placement was performed, and the patient was discharged without complications.
Discussion: Previous guidelines suggested that ST-elevation with diffuse ST-depression should be treated as a STEMI-equivalent involving the left-main or proximal left anterior descending coronary artery. However recent data suggests that the majority of these cases may not involve that territory. Regardless, this ECG finding should still be concern for acute coronary syndrome with the need for urgent catheterization.
Rights
© 2024 Lo et al.
This is an open access article distributed in accordance with the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License.
Original Publication Citation
Lo, B. M., Christensen, M. K., Schaffer, K., & Tzavaras, T. J. (2024). ST-elevation in aVR with diffuse ST-segment depression: Need for urgent catheterization? Clinical Practice and Cases in Emergency Medicine, 9(1), 109-110. https://doi.org/10.5811/cpcem.35284
Repository Citation
Lo, B. M., Christensen, M. K., Schaffer, K., & Tzavaras, T. J. (2024). ST-elevation in aVR with diffuse ST-segment depression: Need for urgent catheterization? Clinical Practice and Cases in Emergency Medicine, 9(1), 109-110. https://doi.org/10.5811/cpcem.35284
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