NYMC Faculty Publications

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

Journal Title

The American Journal of Case Reports

First Page

410

Last Page

413

Document Type

Article

Publication Date

4-1-2017

Department

Medicine

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.

Publisher's Statement

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

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