A constant ST segment elevation in leads II, III, AVF: an electrocardiographic, echocardiographic, clinical, exercise test, laboratory and multi-slice computed tomography angiographic study

• Published in: Journal of electrocardiology Vol. 49; no. 4; pp. 610 - 613
• Main Authors: Kalinauskiene, Egle, MD, PhD, Balnyte, Ruta, MD, Naudziunas, Albinas, MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2016
• Subjects: Cardiac multi-slice computed tomography angiography; Cardiovascular; Chronic Disease; Clinical Laboratory Techniques - methods; Computed Tomography Angiography - methods; Constant ST segment elevation; Diagnosis, Differential; Echocardiography - methods; Electrocardiogram; Electrocardiography - methods; Exercise Test; Humans; Male; Middle Aged; Multidetector Computed Tomography - methods; Non-ischemic ST segment elevation; Physical Examination - methods; Reproducibility of Results; Sensitivity and Specificity; ST Elevation Myocardial Infarction - diagnosis; electrocardiogram; constant ST segment elevation; non-ischemic ST segment elevation; cardiac multi-slice computed tomography angiography; Cardiac multi-slice computed tomography angiography; Non-ischemic ST segment elevation; Electrocardiogram; Constant ST segment elevation
• ISSN: 0022-0736; 1532-8430
• DOI: 10.1016/j.jelectrocard.2016.04.007

Abstract A constant ST-elevation was more often described in precordial leads. We presented it in leads II, III, AVF in 16 consecutive patients seeking to establish a link between it and clinical, laboratory, echocardiography, exercise test, and multi-slice computed tomography angiography data. Main complaint of these obese middle-age men was angina pectoris (68.75 %). They usually had hypertension, dyslipidemia, concentric left ventricular hypertrophy and non-pathological exercise test. Coronary stenosis > 50 % was only in one case (6.25 %). Despite the typical pain and risk factors, the constant ST-elevation in leads II, III, AVF usually was not associated with coronary stenosis.