PMC8020180_01
DII, DIII and aVF leads show 1 mm ST elevation, and 0.5-1 mm ST depression in DI and aVL leads.
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F1
His cardiac examination at that time was also within normal limits. However, a 12-lead electrocardiogram (ECG) showed the inferior STEMI (Figure 1).
Emergency coronary angiography of the patient shows 30-40% stenosis in the left anterior descending artery.
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F2
In addition to this, the left main coronary artery, left circumflex artery and right coronary artery were observedly normal (Figure 2).
It is seen that the ST elevation and depressions regress relative to the patient's first ECG.
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F3
ST segment elevation regressed in the ECG of the patient, who had no more ischemic cardiac symptoms after the intervention (Figure 3).
3D ECG /Cardiogoniometry performed to the patient shows septal inferior myocardial ischemia.
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F4
Cardiogoniometry (a non-invasive medical tool worked with spatiotemporal vectocardiographic advancement), was performed after 24 hours of the pain, it revealed septal inferior myocardial ischemia (Figure 4), and supported our diagnosis.