Is there anything else to fish out of this “fishy” electrocardiogram?

The TW ECG pattern constitutes a rare manifestation of STEMI and is associated with acute, severe and extensive transmural ischaemia and consequently an increased risk of ventricular fibrillation/ventricular tachycardia, cardiogenic shock and in-hospital mortality [2]. The combination of new-onset R...

Full description

Saved in:
Bibliographic Details
Published in:Netherlands heart journal 2022-02, Vol.30 (2), p.121-122
Main Author: Andreou, A. Y.
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiology
Coronary vessels
Electrocardiography
Ischemia
Letter to the Editor
Medical Education
Medicine
Medicine & Public Health
Mortality
Veins & arteries
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The TW ECG pattern constitutes a rare manifestation of STEMI and is associated with acute, severe and extensive transmural ischaemia and consequently an increased risk of ventricular fibrillation/ventricular tachycardia, cardiogenic shock and in-hospital mortality [2]. The combination of new-onset RBBB and LPFB in acute anterior STEMI reflects extensive myocardial damage due to occlusion of the left anterior descending coronary artery proximal to the first septal perforator artery and concomitant severe disease in one or two additional coronary arteries. Furthermore, in the setting of acute coronary artery occlusion, cardiac arrest with an initial rhythm of pulseless electrical activity has been associated with pre-existing severe left ventricular systolic dysfunction [4].
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-022-01658-y