This is a case of an unusual electrocardiographic manifestation in a patient with right ventricular (RV) myocardial infarction occurring in association with left ventricular inferoposterior myocardial infarction. There was massive ST-segment elevation in the precordial leads resembling that of an anterior myocardial infarction, in addition to the ST-segment elevation seen typically in the right ventricular leads.
Two-dimensional echocardiography confirmed right ventricular hypokinesia, and coronary angiography revealed single-vessel coronary artery disease involving the right coronary artery. This case serves as a reminder that the presence of diffuse and marked ST-segment elevation in the precordial leads in a patient with inferior myocardial infarction may indicate simultaneous RV infarction and warrants further confirmatory investigations.
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The author(s) declare there are no affiliations with or involvement in any organisation or entity with any financial interest in the subject matter or materials discussed in this manuscript.
