Critical aortic stenosis presenting as STEMI

A 73-year-old male was brought into hospital with chest pain and inferior ST elevation on ECG. The patient immediately proceeded to the catheter lab for primary percutaneous coronary intervention. Angiography did not identify any culprit lesions to account for the patient’s electrocardiographic chan...

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Main Authors: Ying X Gue, Sanjay S Bhandari, Damian J Kelly
Format: Article
Language:English
Published: BMC 2017-07-01
Series:Echo Research and Practice
Subjects:
Online Access:http://www.echorespract.com/content/4/3/K7.full
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author Ying X Gue
Sanjay S Bhandari
Damian J Kelly
author_facet Ying X Gue
Sanjay S Bhandari
Damian J Kelly
author_sort Ying X Gue
collection DOAJ
description A 73-year-old male was brought into hospital with chest pain and inferior ST elevation on ECG. The patient immediately proceeded to the catheter lab for primary percutaneous coronary intervention. Angiography did not identify any culprit lesions to account for the patient’s electrocardiographic changes and ongoing symptoms of chest pain. Bedside echocardiography revealed critical aortic stenosis. Intra-aortic balloon pump (IABP) was inserted, resulting in resolution of chest pain and ST-segment changes. The patient underwent successful aortic valve (AV) replacement without the need for coronary intervention. This is a rare presentation of critical aortic stenosis (AS) presenting as ST-segment elevation myocardial infarction (STEMI).
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spelling doaj.art-e5b1673c773d46c8aeaf04b082f75eff2022-12-22T02:24:58ZengBMCEcho Research and Practice2055-04642055-04642017-07-0143K7K1010.1530/ERP-17-0017Critical aortic stenosis presenting as STEMIYing X Gue0Sanjay S Bhandari1Damian J Kelly2Department of Cardiology, Royal Derby Hospital, Derby Hospital NHS Foundation Trust, Derby, UKDepartment of Cardiology, Royal Derby Hospital, Derby Hospital NHS Foundation Trust, Derby, UKDepartment of Cardiology, Royal Derby Hospital, Derby Hospital NHS Foundation Trust, Derby, UKA 73-year-old male was brought into hospital with chest pain and inferior ST elevation on ECG. The patient immediately proceeded to the catheter lab for primary percutaneous coronary intervention. Angiography did not identify any culprit lesions to account for the patient’s electrocardiographic changes and ongoing symptoms of chest pain. Bedside echocardiography revealed critical aortic stenosis. Intra-aortic balloon pump (IABP) was inserted, resulting in resolution of chest pain and ST-segment changes. The patient underwent successful aortic valve (AV) replacement without the need for coronary intervention. This is a rare presentation of critical aortic stenosis (AS) presenting as ST-segment elevation myocardial infarction (STEMI).http://www.echorespract.com/content/4/3/K7.fullaortic stenosismyocardial infarctionechocardiogram
spellingShingle Ying X Gue
Sanjay S Bhandari
Damian J Kelly
Critical aortic stenosis presenting as STEMI
Echo Research and Practice
aortic stenosis
myocardial infarction
echocardiogram
title Critical aortic stenosis presenting as STEMI
title_full Critical aortic stenosis presenting as STEMI
title_fullStr Critical aortic stenosis presenting as STEMI
title_full_unstemmed Critical aortic stenosis presenting as STEMI
title_short Critical aortic stenosis presenting as STEMI
title_sort critical aortic stenosis presenting as stemi
topic aortic stenosis
myocardial infarction
echocardiogram
url http://www.echorespract.com/content/4/3/K7.full
work_keys_str_mv AT yingxgue criticalaorticstenosispresentingasstemi
AT sanjaysbhandari criticalaorticstenosispresentingasstemi
AT damianjkelly criticalaorticstenosispresentingasstemi