“NEAR NORMAL” ELECTROCARDIOGRAPH IN A PATIENT WITH PERSISTENT ANGINA
NG CHOON SEONG *
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
M. SHAWAL
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
CHE HASSAN
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
C. K. CHOOR
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
G. SHATHISKUMAR
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
PATRICK TIAU
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
K. PAUL SAMIR
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
OTEH MASKON
Cardiology Unit, Department of Internal Medicine, Hospital Canselor Tuanku Muhriz, National University of Malaysia Medical Centre (PPUKM), Jalan Yaacob Latif, Bandar Tun Razak, Cheras, 56000 Kuala Lumpur, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
The “concealed” essence of the electrocardiographic analysis alone in diagnosing ischemia of the posterior myocardial wall has long been a challenge clinically. Here, we report a middle-aged man with persistent typical angina pain and subtle electrocardiographic changes who underwent emergent angiogram for suspicion of acute coronary occlusion. Circumflex occlusion was found and coronary intervention resulted in reperfusion.
Keywords: Left circumflex coronary occlusion, posterior side of heart, chest pain