Left Ventricular Aneurysm May Not Manifest as Persistent ST Elevation on Electrocardiogram

Authors

O Ola
Carissa Dumancas
Tuoyo O. Mene-Afejuku, New York Medical College
A AkinlonuFollow
M Al-JubooriFollow
Ferdinand Visco, New York Medical CollegeFollow
Savi Mushiyev, New York Medical College
Gerald Pekler, New York Medical CollegeFollow

DOI

10.12659/AJCR.902884

Journal Title

The American Journal of Case Reports

First Page

410

Last Page

413

Document Type

Article

Publication Date

4-1-2017

Department

Medicine

Keywords

Chest Pain, Electrocardiography, Heart Aneurysm, Heart Ventricles, Myocardial Infarction

Disciplines

Cardiology | Cardiovascular Diseases | Medicine and Health Sciences

Abstract

BACKGROUND Electrocardiographic presentations of left ventricle aneurysms are diverse; however, a persistent ST segment elevation post myocardial infarction is most commonly reported. CASE REPORT The authors present a case of a 67-year-old man who presented to the emergency department after three days of chest pain and was found to have an acute myocardial infarction with an incidental finding of a left ventricular aneurysm. His surface electrocardiogram, however, demonstrated only inverted T waves in the precordial leads. He had a very elevated serum troponin I consistent with an acute myocardial injury which prompted a cardiac catheterization with angioplasty. Post angioplasty, he had persistent T wave inversions in the precordial leads. CONCLUSIONS It is important for clinicians to appreciate that the presence of newly inverted T waves in patients with a late presentation post myocardial infarction should raise a concern for a possible left ventricular aneurysm.

Recommended Citation

Ola, O., Dumancas, C., Mene-Afejuku, T., Akinlonu, A., Al-Juboori, M., Visco, F., Mushiyev, S., & Pekler, G. (2017). Left Ventricular Aneurysm May Not Manifest as Persistent ST Elevation on Electrocardiogram. The American Journal of Case Reports, 18, 410-413. https://doi.org/10.12659/AJCR.902884

Publisher's Statement

Originally published in American Journal of Case Reports 2017; 18:410-413. The original material can be found here.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.