Acute occlusion of the first diagonal artery, an uncommon presentation of acute myocardial infarction
Abstract
Coronary artery disease is the most common cause of death in the world and its frequency is increasing. For any patient with suspected ST-segment elevation myocardial infarction (STEMI), it is recommended to start electrocardiographic monitoring as soon as possible to detect life-threatening arrhythmias and to proceed, immediately, with the reperfusion strategy. The electrocardiographic diagnosis of STEMI may be more difficult in some cases with atypical or unusual ischemic equivalent changes; however, it requires immediate attention and stratification because the missed diagnosis increases mortality. In this article are presented two cases with this disease and signs of isolated occlusion of the first diagonal artery, which were successfully treated by percutaneous coronary intervention.
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