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• W2019832418 abstract "The early electrocardiographic diagnosis of acute myocardial infarction can be difficult in paced patients. Significant ischemic ST segment deviations and QRS prolongation may be seen after referencing to previous paced ECGs [ 1 Kilic H. Atalar E. Ozer N. et al. Early electrocardiographic diagnosis of acute coronary ischemia on the paced electrocardiogram. Int J Cardiol. Oct 30 2008; 130: 14-18 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar , 2 Munclinger M. Ventricular paced rhythm and acute coronary ischaemia. Int J Cardiol. Nov 5 2010; 145: 77-78 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ]. Sgarbossa's criteria [ 3 Sgarbossa E.B. Pinski S.L. Gates K.B. Wagner G.S. Early electrocardiographic diagnosis of acute myocardial infarction in the presence of ventricular paced rhythm. GUSTO-I investigators. Am J Cardiol. Feb 15 1996; 77: 423-424 Abstract Full Text PDF PubMed Scopus (119) Google Scholar , 4 Maloy K.R. Bhat R. Davis J. Reed K. Morrissey R. Sgarbossa criteria are highly specific for acute myocardial infarction with pacemakers. West J Emerg Med. Sep 2010; 11: 354-357 PubMed Google Scholar ] and non-paced complexes may aid in the diagnosis of significant ischemic abnormalities [ 5 Brady W.J. Cases in electrocardiography. Am J Emerg Med. Jan 1998; 16: 85-86 Abstract Full Text PDF PubMed Scopus (3) Google Scholar , 6 Rosner M.H. Brady W.J. The electrocardiographic diagnosis of acute myocardial infarction in patients with ventricular paced rhythms. Am J Emerg Med. Mar 1999; 17: 182-185 Abstract Full Text PDF PubMed Scopus (12) Google Scholar ]. Associated symptoms [ [7] Culić V. Mirić D. Eterović D. Correlation between symptomatology and site of acute myocardial infarction. Int J Cardiol. Feb 2001; 77: 163-168 Abstract Full Text Full Text PDF PubMed Scopus (63) Google Scholar ] and conduction disturbances have been reported during acute inferior myocardial infarction [ 8 Akyel A. Alsancak Y. Yayla Ç. Sahinarslan A. Özdemir M. Acute inferior myocardial infarction with low atrial rhythm due to propyphenazone: Kounis syndrome. Int J Cardiol. May 5 2011; 148: 352-353 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar , 9 Ramzy I.S. Lindqvist P. Lam Y.Y. Duncan A.M. Henein M.Y. Electromechanical left atrial disturbances in acute inferior myocardial infarction: an evidence for ischaemic dysfunction. Int J Cardiol. Aug 18 2011; 151: 96-98 Abstract Full Text Full Text PDF PubMed Scopus (4) Google Scholar , 10 Celik M. Iyisoy A. Celik T. Intermittent right bundle branch block development in a patent with acute inferior myocardial infarction. Int J Cardiol. Aug 4 2011; 150: e121-e123 Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar , 11 Patanè S. Marte F. Di Bella G. Chiribiri A. Conduction disturbances and paroxysmal atrial fibrillation during acute inferior myocardial infarction. Int J Cardiol. Sep 26 2008; 129: e37-e40 Abstract Full Text Full Text PDF PubMed Scopus (5) Google Scholar ] as well as several studies have demonstrated the atypical features and wide variety of symptoms in elderly patients with acute myocardial infarction [ 12 Rittger H. Rieber J. Breithardt O.A. et al. Influence of age on pain perception in acute myocardial ischemia: A possible cause for delayed treatment in elderly patients. Int J Cardiol. May 19 2011; 149: 63-67 Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar , 13 Rodstein M. The characteristics on non-fatal myocardial infarction in the aged. Arch Intern Med. 1956; 98: 84-90 Crossref Scopus (41) Google Scholar , 14 Aronow W.S. Starling L. Etienne F. et al. Unrecognized Q-wave myocardial infarction in patients older than 64 years in a long-term health care facility. Am J Cardiol. 1985; 56: 483 Abstract Full Text PDF PubMed Scopus (25) Google Scholar , 15 Aronow W.S. Prevalence of presenting symptoms of recognized acute myocardial infarction and of unrecognized healed myocardial infarction in elderly patients. Am J Cardiol. 1987; 60: 1182 Abstract Full Text PDF PubMed Scopus (77) Google Scholar ]. I present a case of acute inferior myocardial infarction in a 79-year-old Italian woman admitted to the Emergency Department with hypotension and complaining of epigastric pain. A history of permanent pacemaker implantation and a history of permanent atrial fibrillation without current anticoagulant treatment were reported. No previous ECGs were present. The ECG was performed and it showed atrial fibrillation with on non-paced complexes ST elevation on III avF and ST depression on I avL leads (on the last two complexes of these leads), mild ST elevation on II (on the last two complexes of this lead) and v6 (except on the last complex of this lead) leads, T negative on II III avF (on the last three complexes of these leads) v4 v5 v6 leads (except on the last complex of these leads). Paced ventricular complexes were also shown (Fig. 1). In the cath-lab for coronary angiography an ostial significant right coronary artery stenosis was found. Percutaneous transluminal coronary angioplasty with implantation of stent was performed. Also this case focuses attention on early electrocardiographic diagnosis of acute myocardial infarction in paced patients." @default.
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• W2019832418 date "2012-11-01" @default.
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• W2019832418 title "Paced patient and acute myocardial infarction" @default.
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