Tombstone ST Segment Elevation in Double Vessel Coronary Artery Disease; Who is the Culprit?
|Yutthapong Temtanakitpaisan*, Renee Dallasen and Craig S. Smith|
|Division of Cardiology, Department of Medicine, University of Massachusetts, Worcester, Massachusetts, USA|
|Corresponding Author :||Yutthapong Temtanakitpaisan
Division of Cardiology
Department of Medicine, University of Massachusetts
55 Lake Avenue North, Worcester, Massachusetts 01655, USA
E-mail: [email protected]
|Received: July 07, 2015; Accepted: July 21, 2015; Published: July 23, 2015|
|Citation: Temtanakitpaisan Y, Dallasen R, Smith CS (2015) Tombstone ST Segment Elevation in Double Vessel Coronary Artery Disease; “Who is the Culprit?”. J Cardiovasc Dis Diagn 3:211. doi:10.4172/2329-9517.1000211|
|Copyright: © 2015 Temtanakitpaisan Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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We describe a 66 year-old male who presented with chest pain and ST segment elevation in the anterior leads. The typical culprit lesion is in the left anterior descending artery (LAD). However, concomitant lesions in the other coronary arteries may make an accurate diagnosis of the actual “culprit lesion” more challenging. Understanding the electrical basis of electrocardiograms can provide important clues in identifying and treating the true lesion.