PMC4189715_01
First cardiac event.. Notes: Traces from the 12-lead ECG (25 mm/s, 10 mm/mV) showed transient abnormalities. Peaked T wave and ST segment elevation were associated with thoracoabdominal discomfort. I, II, and III = limb leads; V1 to V6 = precordial leads.. Abbreviations: aVF, lead augmented vector foot; aVL, lead augmented vector left; aVR, lead augmented vector right; ECG, electrocardiogram.
ott-7-1783Fig1.jpg
PMC4189715_01_ott-7-1783Fig1.jpg
f1-ott-7-1783
T wave elevation (Figure 1). The ratio of ST segment elevation to T wave amplitude in lead V6 was 0.4. The electrocardiographic findings suggested the possibility of an acute pericarditis, although elevated TnI concentration was not concordant with the diagnosis.
Second cardiac event.. Notes: Traces from the continuous 12-lead 24 hours ECG Holter monitoring (25 mm/s, 10mm/mV) showed transient abnormalities. (A) Heart rate 75 bpm: ST segment depression; (B) Heart rate 81 bpm: Asymptomatic T wave negative inversion. I, II, and III = limb leads; V1 to V6 = precordial leads.. Abbreviations: aVF, lead augmented vector foot; aVL, lead augmented vector left; aVR, lead augmented vector right; ECG, electrocardiogram.
ott-7-1783Fig2.jpg
PMC4189715_01_ott-7-1783Fig2.jpg
f2-ott-7-1783
T wave negative inversion or peaked elevation (Figure 2A-B). Particularly, an infero-antero-lateral 4 mm ST segment elevation was observed from 7.20 am to 7.50 am, while the patient was asymptomatic (Figure 3). The patient received amlodipine 10 mg, sublingual nitrates, and acetylsalicylic acid 100 mg and was discharged 24 hours later.
Second cardiac event.. Notes: Trace from the continuous 12-lead 24 hours ECG Holter monitoring (25 mm/s, 10mm/mV) showed: Heart rate 100 bpm, 4 mm asymptomatic ST segment elevation. I, II, and III = limb leads; V1 to V6 = precordial leads.. Abbreviations: aVF, lead augmented vector foot; aVL, lead augmented vector left; aVR, lead augmented vector right; ECG, electrocardiogram.
ott-7-1783Fig3.jpg
PMC4189715_01_ott-7-1783Fig3.jpg
f3-ott-7-1783
T wave negative inversion or peaked elevation (Figure 2A-B). Particularly, an infero-antero-lateral 4 mm ST segment elevation was observed from 7.20 am to 7.50 am, while the patient was asymptomatic (Figure 3). The patient received amlodipine 10 mg, sublingual nitrates, and acetylsalicylic acid 100 mg and was discharged 24 hours later.