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.
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.
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