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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Format: | Article |
Language: | English |
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BMC
2017-07-01
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Series: | Echo Research and Practice |
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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). |
first_indexed | 2024-04-13T23:29:18Z |
format | Article |
id | doaj.art-e5b1673c773d46c8aeaf04b082f75eff |
institution | Directory Open Access Journal |
issn | 2055-0464 2055-0464 |
language | English |
last_indexed | 2024-04-13T23:29:18Z |
publishDate | 2017-07-01 |
publisher | BMC |
record_format | Article |
series | Echo Research and Practice |
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 |