ST-segment elevation in non-atherosclerotic coronaries: A brief overview

Subhash Chandra, Vikas Singh, Mahendra Nehra, Dipti Agarwal, Nishit Singh

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

The most common, clinically significant cause of ST elevation is an angiographically demonstrable occlusive disease due to atherosclerotic changes in coronary artery. Often, a patient presenting with non-specific complaints and ST-segment elevation on the electrocardiogram, is sent for a cardiac catheterization only to see no luminal stenosis on the angiogram. This clinical review is intended to inform emergency medicine physicians and internists about the conditions in which ST-segment elevation is accompanied with no atherosclerotic lesion on coronary angiography. These situations make a diverse array of conditions ranging from anomalous coronaries to anatomically normal coronaries with varied degrees of myocardial injury. These conditions are briefly reviewed in this article.

Original languageEnglish (US)
Pages (from-to)129-139
Number of pages11
JournalInternal and Emergency Medicine
Volume6
Issue number2
DOIs
StatePublished - Apr 1 2011
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Emergency Medicine

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