Acute Inferior Myocardial Infarction: Beyond the ST-Segment Elevation

Authors

  • Diana Rocha Internal Medicine Department, Matosinhos Local Health Unit , Matosinhos, Portugal https://orcid.org/0000-0002-1284-2294
  • Pedro Simões Internal Medicine Department , Nordeste Local Health Unit, Bragança Hospital Unit Bragança, Portugal
  • João Gouveia Internal Medicine Department, Central Hospital of Funchal, Funchal, Madeira, Portugal
  • Cátia Ferreira Department of Cardiology, Heart Failure Unit, Coimbra University Hospital, Coimbra, Portugal
  • Fátima Franco 4Department of Cardiology, Heart Failure Unit, Coimbra University Hospital, Coimbra, Portugal

DOI:

https://doi.org/10.60591/crspmi.173

Keywords:

Electrocardiography, Inferior Wall Myocardial Infarction

Abstract

Acute coronary syndromes (ACS) are considered a continuum, enclosing both non-ST-elevation (NSTE)-ACS, including unstable angina and non-ST-elevation myocardial
infarction (NSTEMI), and ST-elevation myocardial infarction
(STEMI). The diagnosis of myocardial infarction (MI) is
associated with troponin release. Classification of MI has
fundamentally been based on the presence or absence of ST-segment elevation (STE) on the electrocardiogram (ECG). STE is a poor surrogate for acute coronary occlusion (ACO) causing MI. Mounting evidence suggests that a substantial fraction of patients presenting with NSTEMI have an ACO of their culprit artery. Due to a lack of classic ECG findings, these NSTEMI patients, despite ACO of the culprit artery, may be missed, leading to either delay in or no revascularization. This case report highlights one specific pattern potentially identifying ACO that does not meet STEMI criteria, the Aslanger pattern. Early identification of this NSTEMI pattern potentially accelerates revascularization.

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References

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Published

24-06-2024

How to Cite

Rocha, D., Simões, P., Gouveia, J., Ferreira, C., & Franco, F. (2024). Acute Inferior Myocardial Infarction: Beyond the ST-Segment Elevation. SPMI Case Reports, 2(Edição Especial), 36–39. https://doi.org/10.60591/crspmi.173

Issue

Vol. 2 No. Edição Especial (2024): Abril/Junho

Section

Casos Clínicos

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Copyright (c) 2024 Diana Rocha, Pedro Simões, João Gouveia, Cátia Ferreira, Fátima Franco

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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