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Intensive Glycemic Control and the Prevention of Cardiovascular Events: Expert Consensus Document

2009 Appropriateness Criteria for Coronary Revascularization
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J Am Coll Cardiol, 1999; 34:748-753
© 1999 by the American College of Cardiology Foundation
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Acute myocardial infarction with isolated ST-segment elevation in posterior chest leads V7–9

"hidden" ST-segment elevations revealing acute posterior infarction

Shlomi Matetzky, MDa,b, Dov Freimark, MDa,b, Micha S. Feinberg, MDa,b, Ilya Novikov, PhDa,b, Shmuel Rath, MDa,b, Babeth Rabinowitz, MD, FACCa,b, Elieser Kaplinsky, MD, FACCa,b and Hanoch Hod, MD, FACCa,b

a Heart Institute, Chaim Sheba Medical Center, Tel Hashomer, Israel
b Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel



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  		Figure 1 Admission ECG showing isolated ST{uparrow} in leads V7 through V9 (A) and the discharge ECG of the same patient showing the appearance of pathologic Q-waves in leads V7 through V9 (B).

 


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  		Figure 2 Admission 12-lead ECG showing only ST leads V1 through V3.

 


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  		Figure 3 (A) ST {uparrow} in leads V7 through V9 on admission ECG; (B) appearance of pathologic Q-waves in leads V7 through V9 on discharge ECG (from the same patient as in Figure 2).

 


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  		Figure 4 The distribution of regional wall abnormalities in echocardiography.

 
 
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