Electrocardiographic Findings Suggest Paradigm Shift in Acute Coronary Disease. Apropos of a case
Abstract
For over 20 years, the management of acute coronary disease has remained largely unchanged. Some authors have called for a paradigm shift in the interpretation of electrocardiograms and the subsequent therapeutic decision-making process. This report presents the case of a 30-year-old male, smoker, who experienced cardiac arrest and was successfully resuscitated by emergency medical services. Electrocardiographic findings were inconclusive; however, following institutional protocol for such cases, coronary angiography was performed, revealing a severe lesion in the proximal segment of the right coronary artery. A stent was successfully implanted without complications. The reviewed literature suggests replacing the current paradigm of myocardial infarction with or without ST-segment elevation with a new framework: "myocardial infarction with or without coronary artery occlusion". This shift could improve therapeutic decisions. Clinical and electrocardiographic analysis, even when atypical, combined with risk factors, are essential tools for accurate diagnosis and timely therapeutic interventions.Downloads
References
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