E. Sdogkos, Antonios Papadopoulos, T. Konstantinou, I. Vogiatzis
{"title":"Spontaneous coronary artery dissection presented as posterior ST-Elevation myocardial infarction.","authors":"E. Sdogkos, Antonios Papadopoulos, T. Konstantinou, I. Vogiatzis","doi":"10.5455/im.98288","DOIUrl":null,"url":null,"abstract":"A 48-year-old female, head nurse in a neighboring hospital, during her morning occupation at the hospital, felt an acute pain in the mid-chest, with radiation in her left shoulder. She was a non-smoker, with no cardiovascular history or predisposing factors for atherosclerotic disease, under treatment with thyroid hormone replacement due to hypothyroidism. Although a mild ST-segment depression was revealed at the 12-lead electrocardiogram left precordial leads, the appearance of an ST-segment elevation at the posterior leads V7, V8, and V9 was in favor of posterior – lateral ST-Elevation Myocardial Infarction (STEMI) [Figure 1].","PeriodicalId":93574,"journal":{"name":"International medicine (Antioch, Turkey)","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International medicine (Antioch, Turkey)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/im.98288","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A 48-year-old female, head nurse in a neighboring hospital, during her morning occupation at the hospital, felt an acute pain in the mid-chest, with radiation in her left shoulder. She was a non-smoker, with no cardiovascular history or predisposing factors for atherosclerotic disease, under treatment with thyroid hormone replacement due to hypothyroidism. Although a mild ST-segment depression was revealed at the 12-lead electrocardiogram left precordial leads, the appearance of an ST-segment elevation at the posterior leads V7, V8, and V9 was in favor of posterior – lateral ST-Elevation Myocardial Infarction (STEMI) [Figure 1].