• Am J Emerg Med · Aug 2024

    Case Reports

    ECG manifestations of occlusion of septal perforator of left anterior descending artery.

    • Abhinav B Anand, Pramod T Gitte, Girish R Sabnis, and Ajay U Mahajan.
    • Department of Cardiology, Lokmanya Tilak Municipal General Hospital and Medical College, Sion Hospital, Mumbai, India. Electronic address: docabhinavheart@gmail.com.
    • Am J Emerg Med. 2024 Aug 1; 82: 424642-46.

    AbstractThe fourth universal definition of MI defines requires presence of j point elevation in two contiguous leads except v2-3 where the elevation should be equal to or >2 mm in men (2.5 mm in <40 years) and 1.5 mm in women.(1) We present two cases of patients who presented with electrocardiographic manifestations of occlusion of septal perforator of left anterior descending artery and discuss the salient feature of ECG in such patients. We also present the limitations of STEMI criteria given the dynamic nature of acute coronary occlusion and stress on early recognition of this MI.Copyright © 2024 Elsevier Inc. All rights reserved.

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