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Case Report

Acute Occulusion of Diagonal Branch:Triad of Severe Pain,Small Infarct & Specific Ekg Pattern

Vinod Sharma , Vinod Sharma1 , Sukriti Raina2 , Saurabh Bharadwaj3 , Ruchi Sharma4 , Lokesh Chandra Gupta5

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Indian Journal of Medical and Health Sciences 8(1):p 21-26, January-June 2021. | DOI: https://dx.doi.org/10.21088/ijmhs.2347.9981.8121.3

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Vinod Sharma, Sukriti Raina, Saurabh Bharadwaj, et al./Acute
Occulusion of Diagonal  Branch: Triad  of  Severe Pain, Small
Infarct & Specific Ekg Pattern2021;8(1):21-24.

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

A 59 years female, known case of Non-Insulin Dependent Diabetes Mellitus (NIDDM) for 10 years with a strong family  history  of coronary  artery disease (both  parents & siblings have CAD),  presente with severe  agonizing precordial chest discomfort, radiating to left shoulder associated with profuse sweating for last 3 hours.In emergency room,patient was restless,pulse=100/min.,BP=170/100mm Hg,O2 saturation 98%.There was no sign of cardiac failure.ECG recorded in emergency room revealed ST elevation of 5to 6 mm in lead I,aVL, 4 mm ST elevation in lead II, V2 and shuttle ST segment sagging in lead II, 4 mm ST segment depression in lead III & Avf (South African Flag Sign) (Fig 1).

Keywords: Case report South African Flag Sign, Acute occlusion of diagonal branch, pecific EKG pattern, Coronary Artery Disease, ST elevation in Lead I, avL&V2, ST depression in inferior leads.

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Cite this article

Vinod Sharma, Sukriti Raina, Saurabh Bharadwaj, et al./Acute
Occulusion of Diagonal  Branch: Triad  of  Severe Pain, Small
Infarct & Specific Ekg Pattern2021;8(1):21-24.

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DOI: https://dx.doi.org/10.21088/ijmhs.2347.9981.8121.3

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