Acute chest pain with ST-segment elevation in lead V1–V3: when you hear hoofbeats, also look for zebras

Patrizio Pascale*, Anna Giulia Pavon, Jan Bogaert, Johan Bennett, Pierre Monney, Olivier Muller, Juerg Schwitter, Pier Giorgio Masci

*Corresponding author for this work

Research output: Contribution to journalLetterpeer-review

Abstract

ST-segment elevation (STE) in the anterior precordial leads is the hallmark of anterior myocardial infarction. In rare cases, this ECG pattern may be due to isolated infarction of the right ventricle since leads V1–V3 directly overlie the right ventricular free wall. Herein, we aimed to provide clues to recognize and understand this diagnostic pitfall through a series of 4 patients presenting with STE in the anterior leads.

Original languageEnglish
Pages (from-to)1516-1522
Number of pages7
JournalClinical Research in Cardiology
Volume110
Issue number9
DOIs
Publication statusPublished - Sept 2021

Keywords

  • Anterior ST-elevation
  • Electrocardiogram
  • Myocardial infarction
  • Right ventricle
  • ST-segment

Fingerprint

Dive into the research topics of 'Acute chest pain with ST-segment elevation in lead V1–V3: when you hear hoofbeats, also look for zebras'. Together they form a unique fingerprint.

Cite this