Acute occlusion of the left main trunk presenting as ST-elevation acute coronary syndrome

Abstract Acute obstruction of the left main coronary artery (LMCA) is not frequently encountered. Electrocardiographic findings are important to early diagnosis in determining an acute obstruction of the LMCA, which requires immediate aggressive treatment, in this extremely unstable condition. Howev...

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Bibliographic Details
Published in:Journal of electrocardiology 2010, Vol.43 (1), p.76-78
Main Authors: Aygul, Nazif, MD, Salamov, Elvin, MD, Dogan, Umuttan, MD, Tokac, Mehmet, MD
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - etiology
Acute myocardial infarction
Adult
Cardiovascular
Coronary Stenosis - complications
Coronary Stenosis - diagnosis
Diagnosis, Differential
Electrocardiography
Electrocardiography - methods
Humans
Left main coronary artery
Male
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Summary:Abstract Acute obstruction of the left main coronary artery (LMCA) is not frequently encountered. Electrocardiographic findings are important to early diagnosis in determining an acute obstruction of the LMCA, which requires immediate aggressive treatment, in this extremely unstable condition. However, there is no single typical electrocardiographic pattern representing acute occlusion of the LMCA. We describe a rare electrocardiographic finding that suggested ST-elevation acute coronary syndrome of the anterior zone due to left main trunk total occlusion.
ISSN:0022-0736
1532-8430
DOI:10.1016/j.jelectrocard.2009.07.008