When Electrocardiogram Changes From Inferior Myocardial Infarction To Anterior Myocardial Infarction

We describe a patient who developed acute chest pain and ST-segment elevation in inferior leads on electrocardiography. In his control electrocardiography after fifteen minutes ST-segment elevation was seen in anterior leads. Cardiac catheterization showed there was wrap around left anterior descending artery and an occlusion in proximal region. Occlusion was resolved by typical ballooning. To our knowledge in literature there are simultaneously ST elevations in anterior and inferior leads, but in our case with serial ECG records we realized inferior ST segment elevation altered to anterior ST segment elevation. It indicates the importance of serial ECG records in emergency department to explain the mechanism.