A sixty-seven-year-old woman was admitted with a complaint of atypical chest pain and with right precordial coved ST-T elevation, mimicking acute anterior myocardial infarc tion. Results of echocardiographic examination and a coronary angiographic study were normal. The etiology of her electrocardiographic pattern was evaluated by isoproterenol infusion test and was revealed to be an early repolarization.
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References
1.
Osher HL, Wolff L.: Electrocardiographic pattern simulating acute myocardial injury. Am J Med Sci226:541-546, 1953.
2.
Brugada P., Brugada J.: Right bundle branch block, persistent ST segment elevation and sudden cardiac death: A distinct clinical and electrocardiographic syndrome. J Am Coll Cardiol20:1391-1396, 1992 .
3.
Goldberger AL: ST segment elevations: Normal variants. In: Myocardial Infarction: Electrocardiographic Differential Diagnosis, ed. 4, ed. by Goldberger AL.St Louis: Mosby Year Book, 1991, pp 197-210.
4.
Morace G., Padeletti L., Porciani MC, et al: Effect of isoproterenol on the "early repolarization" syndrome . Am Heart J97:343-347, 1979.
5.
Kataoka H., Kanzaki K., Mikuriya Y.: An ECG marker of underlying right ventricular conduction delay in the hyperacute phase of right ventricular infarction or ischemia. J Electrocardiol23:369-374, 1990.
6.
Kambara H., Phillips J.: Long-term evaluation of early repolarization syndrome (normal variant RS-T segment elevation). Am J Cardiol38:157-161, 1976.