open access

Vol 67, No 5 (2009)
Other
Published online: 2009-05-20
Submitted: 2012-12-28
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Electrocardiogram of the month
Undetermined type of acute coronary syndrome in a patient with a pacemaker

Beata Wożakowska-Kapłon, Kamilla Wesołowska, Dawid Bąkowski, Radosław Bartkowiak
Kardiol Pol 2009;67(5):555-559.

open access

Vol 67, No 5 (2009)
Other
Published online: 2009-05-20
Submitted: 2012-12-28

Abstract

Venticular paced rhythm makes diagnosis of acute myocardial infarction difficult. We present a case of a 77-year-old woman with cardiac DDD pacemaker, suffering from diabetes, arterial hypertension and renal insufficiency. She was admitted to hospital due to heavy chest pain, radiated to neck and jaw and shortness of breath. The electrocardiogram recorded on admission showed ventricular paced rhythm and ST segment elevation > 0.5 mV, which fulfilled Sgarbossa’s criteria for indetermined acute coronary syndrome in a patient with pacemaker. Troponin levels were not increased. Severe stenosis of left anterior descendent coronary artery was revealed in coronarography and percutaneus coronary angioplasty with stent implantation was performed immediately.

Abstract

Venticular paced rhythm makes diagnosis of acute myocardial infarction difficult. We present a case of a 77-year-old woman with cardiac DDD pacemaker, suffering from diabetes, arterial hypertension and renal insufficiency. She was admitted to hospital due to heavy chest pain, radiated to neck and jaw and shortness of breath. The electrocardiogram recorded on admission showed ventricular paced rhythm and ST segment elevation > 0.5 mV, which fulfilled Sgarbossa’s criteria for indetermined acute coronary syndrome in a patient with pacemaker. Troponin levels were not increased. Severe stenosis of left anterior descendent coronary artery was revealed in coronarography and percutaneus coronary angioplasty with stent implantation was performed immediately.
Get Citation

Keywords

acute coronary syndrome; pacing

About this article
Title

Electrocardiogram of the month
Undetermined type of acute coronary syndrome in a patient with a pacemaker

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 5 (2009)

Pages

555-559

Published online

2009-05-20

Bibliographic record

Kardiol Pol 2009;67(5):555-559.

Keywords

acute coronary syndrome
pacing

Authors

Beata Wożakowska-Kapłon
Kamilla Wesołowska
Dawid Bąkowski
Radosław Bartkowiak

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