Voir la suite de cet article sur Cursus ECG
Patient
84-year-old woman with known coronary artery disease having undergone a proximal LAD angioplasty 2 years earlier with good angiographic result. She was hospitalized because of palpitations;
Trace
Atrial fibrillation; repolarization disorders with significant depression in V3-V4, negative or flat T-waves in leads I, aVL, II, III, aVF, V4-V6; absence of elevation or of Q-waves;
Exergue
A passage in atrial fibrillation or an anemia in a stable coronary patient is often associated with the finding of a ST-segment depression which is normalized upon correction of the triggering factor.
This patient presented changes in the electrocardiogram in conjunction with a change in atrial fibrillation. Biological work-up did not show any increase in cardiac enzymes.