A rare case of concomitant acute occlusion of left main coronary artery and right coronary artery with characteristic electrocardiographic pattern

<p>Acute Left Main Coronary Artery (LMCA) occlusion is a rare clinical presentation which often manifests as a cardiogenic shock with worse prognosis. However the clinical outcome depends on the age of the patient, co-morbidities and the patency and dominancy of Right coronary artery. Since it...

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Главные авторы: Thilina Jayasekara (Автор), Hansa Sooriyagoda (Автор), Dayananda Balasooriya (Автор), Indika Wickramatunga (Автор), Lakshman Bandara (Автор), Arulkumar Jegavanthan (Автор), Ghanamoorthi Mayurathan (Автор), Subhashini Jayawickreme (Автор), Ajith Kularatne (Автор), Thilakshi Abeysinghe (Автор)
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Опубликовано: Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications, 2021-02-15.
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042 |a dc 
100 1 0 |a Thilina Jayasekara  |e author 
700 1 0 |a  Hansa Sooriyagoda  |e author 
700 1 0 |a  Dayananda Balasooriya  |e author 
700 1 0 |a  Indika Wickramatunga  |e author 
700 1 0 |a  Lakshman Bandara  |e author 
700 1 0 |a  Arulkumar Jegavanthan  |e author 
700 1 0 |a  Ghanamoorthi Mayurathan  |e author 
700 1 0 |a  Subhashini Jayawickreme  |e author 
700 1 0 |a  Ajith Kularatne  |e author 
700 1 0 |a Thilakshi Abeysinghe  |e author 
245 0 0 |a A rare case of concomitant acute occlusion of left main coronary artery and right coronary artery with characteristic electrocardiographic pattern 
260 |b Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications,   |c 2021-02-15. 
520 |a <p>Acute Left Main Coronary Artery (LMCA) occlusion is a rare clinical presentation which often manifests as a cardiogenic shock with worse prognosis. However the clinical outcome depends on the age of the patient, co-morbidities and the patency and dominancy of Right coronary artery. Since it supplies a large myocardial territory of left ventricle, it shows a characteristic Electrocardiographic (ECG) pattern which helps to an early diagnosis. Presence of ST elevation in aVR with ST depression of more than six leads is highly characteristic for LMCA occlusion. Here we are reporting an extremely rare case of acute concomitant occlusion of LMCA and Right coronary artery manifesting as a cardiogenic shock with ST elevation in aVR, ii, iii leads with ST depression in all other leads. Patient showed excellent clinical outcome and reversal of characteristic ECG pattern following Percutaneous Coronary Intervention (PCI) to the culprit vessels. </p> 
540 |a Copyright © Thilina Jayasekara et al. 
546 |a en 
655 7 |a Case Report  |2 local 
856 4 1 |u https://doi.org/10.17352/2455-2976.000161  |z Connect to this object online.