Tuesday, January 11, 2011

RV MI diagnosed by ST elevation in V1

4 comments:

  1. Dr. Smith,
    thank you as always for the fantastic education!
    in this case, where the thrombus embolized from proximal to distal RCA, would it be reasonable to say that inverted reperfusion T waves in V1 and V2 may have developed to replace the STE when the proximal occlusion was essentially spontaneously cleared by virtue of the thrombus traveling distally?

    thanks,
    David

    ReplyDelete
  2. Indeed, on the post-cath ECG the T-wave in V1 was inverted.

    ReplyDelete
  3. Touche for Dr. Smith - excellent insight provided by this tracing to the site of occlusion in the RCA (that was not initially picked up by the interventionalist . . . ). GREAT case! - : ) Ken Grauer, MD

    ReplyDelete