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ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…LCx supplies the posterior descending artery (PDA) in a left dominant circulation (i.e. 10 15% of cases). Clinically, patients present with severe chest pain…

ECG localization of myocardial infarction / ischemia and coronary artery occlusion (culprit)

…The coronary artery that supplies the PDA (posterior descending coronary artery), which supplies the inferior wall of the left ventricle, determines the coronary artery dominance…

Posterior acute myocardial infarction (STEMI)

…heart is rotated 30° to the left in the thorax. This positions the basal portion of the left lateral wall posteriorly in thorax (Figure 1…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…source material addresses posterior infarction primarily in the context of suspected acute coronary syndrome and acute myocardial ischaemia. Patients may present with acute chest pain…

ST elevation myocardial infarction (STEMI) without ST elevations on 12-lead ECG

…occur simultaneously (if both territories are affected by the same artery occlusion). Approximately 30% of patients with posterolateral infarction will also have right ventricular infarction…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…spasm may account for the ischaemia. STEMI usually results from rapid thrombotic occlusion of a previously atherosclerotic coronary artery. Slowly progressive severe stenoses are less…

Cardiac thromboembolism: cardiac sources of embolism

…in the atria, left atrial appendage (LAA), ventricles, valves, and proximal aorta can cause stroke, TIA (transient ischemic attack), coronary artery occlusion, and peripheral embolization…

The left ventricle in myocardial ischemia and infarction

…the right coronary artery (RCA). The RCA also supplies the inferior left ventricular wall in over 90% of all individuals. Hence, a proximal occlusion (in…

The ECG in assessment of myocardial reperfusion

…are robust indicators of successful reperfusion (patent artery). This is also associated with better prognosis, return of R wave amplitudes, and improved left ventricular function…

Regional Myocardial Contractile Function: Wall Motion Abnormalities

…of the stenosis/occlusion, microvascular function, myocardial oxygen extraction, presence of collateral circulation, etc –ischemia may also develop during resting conditions. Indeed, in patients with…

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