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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Main Authors: Fuad Habash, Arwa Albashaireh, Mohammed Eid Madmani, Hakan Paydak
Format: Article
Language:English
Published: Wiley 2018-01-01
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.
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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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AT mohammedeidmadmani stsegmentelevationanddepressionsinsupraventriculartachycardiawithoutcoronaryarterydisease
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