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 133
- Downloads 0
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