Authors :
Dr. Sunayana Vadlakonda; Dr. K. Nagarajan; Dr. Lanord Stanley Jawahar
Volume/Issue :
Volume 9 - 2024, Issue 7 - July
Google Scholar :
https://shorturl.at/fJz1r
Scribd :
https://shorturl.at/eM2DP
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUL093
Abstract :
A 45 year old male came with complaints of
chest pain since one day following alcohol intake. Patient
evaluated initially at a hospital where
electrocardiograph was taken which revealed ST
elevation in leads V2 - V4 and loading dose was given
subsequently and was subsequently refereed to our
hospital. Electrocardiograph was repeated in our
hospital which surprisingly showed no ST elevation.
Patient was taken up for angiogram which shows
proximal LAD occlusion.
Achieving initial thrombolysis in myocardial
infarction grade 2-3 flow in the infarct-related artery
prior to primary percutaneous coronary intervention
(PPCI) is commonly referred to as transient STEMI, or
spontaneous reperfusion. This condition affects about 20%
of patients with STEMI and is usually accompanied by a
resolution or improvement of symptoms. It can delay the
emergency need of angioplasty.
Although there is no specific reason for
spontaneous resolution of ST elevation in myocardial
infarction, but there are few biomarkers, prognostic
tools and potential therapeutic targets which help in
spontaneous re-perfusion in a developing myocardial
infarction.
Keywords :
Chest Pain, Electrocardiograph, ST Elevation, Proximal LAD Occlusion, Spontaneous Reperfusion.
References :
- Harrisons principles of Internal medicine, Twenty-First Edition (Vol 2):2053–2071.
- Alıcı G, Barman HA, Atıcı A, et al. The impact of lesion complexity and the CHA2DS2-VASc score on spontaneous reperfusion in patients with ST-segment elevation myocardial infarction. Int J Clin Pract. 2022; 2022:8066780, doi: 10.1155/2022/8066780, indexed in Pubmed: 35685511.
- Demirkiran A, van der Hoeven NW, Janssens GN, et al. Left ventricular function, strain, and infarct characteristics in patients with transient ST-segment elevation myocardial infarction compared to ST-segment and non-ST-segment elevation myocardial infarctions. Eur Heart J Cardiovasc Imaging. 2022; 23(6): 836–845, doi: 10.1093/ehjci/jeab114, indexed in Pubmed: 34195800.
- Janssens GN, Lemkes JS, van der Hoeven NW, et al. Transient ST-elevation myocardial infarction versus persistent ST-elevation myocardial infarction. An appraisal of patient characteristics and functional outcome. IntJ Cardiol. 2021; 336: 22–28, doi:10.1016/j.ijcard.2021.05.018, indexed in Pubmed: 34004231.
A 45 year old male came with complaints of
chest pain since one day following alcohol intake. Patient
evaluated initially at a hospital where
electrocardiograph was taken which revealed ST
elevation in leads V2 - V4 and loading dose was given
subsequently and was subsequently refereed to our
hospital. Electrocardiograph was repeated in our
hospital which surprisingly showed no ST elevation.
Patient was taken up for angiogram which shows
proximal LAD occlusion.
Achieving initial thrombolysis in myocardial
infarction grade 2-3 flow in the infarct-related artery
prior to primary percutaneous coronary intervention
(PPCI) is commonly referred to as transient STEMI, or
spontaneous reperfusion. This condition affects about 20%
of patients with STEMI and is usually accompanied by a
resolution or improvement of symptoms. It can delay the
emergency need of angioplasty.
Although there is no specific reason for
spontaneous resolution of ST elevation in myocardial
infarction, but there are few biomarkers, prognostic
tools and potential therapeutic targets which help in
spontaneous re-perfusion in a developing myocardial
infarction.
Keywords :
Chest Pain, Electrocardiograph, ST Elevation, Proximal LAD Occlusion, Spontaneous Reperfusion.
