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tory, who presented to the emergency room with 2 days of intermittent chest pain,
which now has been persistent for >2 hours.
The ECG recorded is shown in Figure 1. The patient was immediately trans-
ferred to the catheterization laboratory for coronary angiography and percutane-
ous coronary intervention. According to the ECG information, what is the affected
artery, where is the occlusion located, and how important is the myocardial mass
involved?
Please turn the page to read the diagnosis.
RESPONSE TO ECG CHALLENGE directed downward, and therefore, in leads II, III, and
VF, ST-segment elevation is usually seen (Figure4B). At
This ECG shows the typical findings seen in ST-segment
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AFFILIATIONS
From Balearic Islands Institute for Health Research, Hospital
Son Espases, Palma de Mallorca, Spain (M.F.-S.); and
Autonomous University of Barcelona, ICCCSt. Pau Hospital,
and Quiron University Hospital, Spain (A.B.d.L.).
FOOTNOTES
Circulation is available at http://circ.ahajournals.org.
REFERENCES
1. Bays de Luna A. Clinical Electrocardiography. Chichester, UK: Wiley-
Blackwell; 2012.
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Circulation. 2017;136:691-693
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doi: 10.1161/CIRCULATIONAHA.117.028832
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