Left Ventricular Aneurysm May Not Manifest as Persistent ST Elevation on Electrocardiogram
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.
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
Originally published in American Journal of Case Reports 2017; 18:410-413. The original material can be found here.
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