ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease
ST segment changes are well documented in literature during supraventricular tachycardias. We present a case of a 21-year-old male who presents with chest pain, shortness of breath, and dizziness with an ECG showing atrioventricular reentrant tachycardia and diffuse ST segment depressions. Patient s...
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Language: | English |
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Wiley
2018-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2018/2716312 |
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author | Fuad Habash Arwa Albashaireh Mohammed Eid Madmani Hakan Paydak |
author_facet | Fuad Habash Arwa Albashaireh Mohammed Eid Madmani Hakan Paydak |
author_sort | Fuad Habash |
collection | DOAJ |
description | ST segment changes are well documented in literature during supraventricular tachycardias. We present a case of a 21-year-old male who presents with chest pain, shortness of breath, and dizziness with an ECG showing atrioventricular reentrant tachycardia and diffuse ST segment depressions. Patient spontaneously converted to sinus rhythm, but he was still complaining of crushing chest pain. ECG taken after conversion showed sinus rhythm at a rate of 65 and showed obvious persistence of ST depressions in majority of leads. Emergent left heart catheterization showed normal coronaries. Such ST depression is suggestive of global ischemia in small intracardiac vessels that cannot be evaluated by left heart catheterization. |
format | Article |
id | doaj-art-3a2a45c7ff4948f0b138eb61ceb6784e |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-3a2a45c7ff4948f0b138eb61ceb6784e2025-02-03T06:48:06ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/27163122716312ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery DiseaseFuad Habash0Arwa Albashaireh1Mohammed Eid Madmani2Hakan Paydak3University of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USAST segment changes are well documented in literature during supraventricular tachycardias. We present a case of a 21-year-old male who presents with chest pain, shortness of breath, and dizziness with an ECG showing atrioventricular reentrant tachycardia and diffuse ST segment depressions. Patient spontaneously converted to sinus rhythm, but he was still complaining of crushing chest pain. ECG taken after conversion showed sinus rhythm at a rate of 65 and showed obvious persistence of ST depressions in majority of leads. Emergent left heart catheterization showed normal coronaries. Such ST depression is suggestive of global ischemia in small intracardiac vessels that cannot be evaluated by left heart catheterization.http://dx.doi.org/10.1155/2018/2716312 |
spellingShingle | Fuad Habash Arwa Albashaireh Mohammed Eid Madmani Hakan Paydak ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease Case Reports in Cardiology |
title | ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease |
title_full | ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease |
title_fullStr | ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease |
title_full_unstemmed | ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease |
title_short | ST Segment Elevation and Depressions in Supraventricular Tachycardia without Coronary Artery Disease |
title_sort | st segment elevation and depressions in supraventricular tachycardia without coronary artery disease |
url | http://dx.doi.org/10.1155/2018/2716312 |
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