Acute Isolated Posterior Myocardial Infarction; Challenges in Recognition and Management in the Emergency Department

Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 2

Abstract

Posterior wall myocardial infarction (PWMI) accounts for about 1520% of all STEMIs and is usually seen in the context of inferior and/or lateral wall MI [2]. Isolated posterior wall MI are much less common, of about only 3.3% of all myocardial infarcts [1]. The clinical presentation of PWMI may not be very specific and is confusing even for a cardiologist. Moreover the lack of ST elevation in a standard 12lead ECG leads to missed or delayed diagnosis of a true PWMI. We are reporting a case of isolated PWMI in a 65 years old, previously healthy male patient, who presented with only gradual onset shortness of breath, who was later found to have 100% LCx stenosis. We have tried to emphasize some facts that may make the clinicians aware of a possible PWMI.

Authors and Affiliations

Sarat Kumar Naidu

Keywords

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  • EP ID EP454155
  • DOI 10.21088/ijem.2395.311X.3217.24
  • Views 131
  • Downloads 0

How To Cite

Sarat Kumar Naidu (2017). Acute Isolated Posterior Myocardial Infarction; Challenges in Recognition and Management in the Emergency Department. Indian Journal of Emergency Medicine, 3(2), 286-289. https://europub.co.uk./articles/-A-454155