
An Unusual Cause of ST-Segment Elevation in the Right Precordial Leads—A Clue From the Humble Waves

An Unusual Cause of ST-Segment Elevation in the Right Precordial Leads—A Clue From the Humble Waves is organized by American Medical Association (AMA).
Published Online: April 17, 2023
Description:
A patient in their late teens presented to the outpatient department stating that they had felt the implanted cardioverter defibrillator (ICD) deliver a shock 3 times within the past 6 months. The patient had a history of cardiac arrest due to ventricular fibrillation and had received an ICD 20 months ago. On admission, the patient’s vital signs were as follows: temperature, 36.4 °C; blood pressure, 114/69 mm Hg; pulse rate, 70 beats/min; and respiratory rate, 18 breaths/min. Cardiopulmonary examination was unremarkable. Troponin I, N-terminal probrain natriuretic peptide (NT-pro BNP), and D-dimer levels were normal. The 12-lead electrocardiogram (ECG) obtained
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