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Journal of Cardiovascular Medicine and Surgery 11(2):p 75-78, May -Aug 2025. | DOI: https://doi.org/10.21088/jcms.2454.7123.11225.5
Case Report
Simultaneous tombstone ST elevations in Anterior and Inferior Leads
Atit A Gawalkar, Mohan Prasad Akkineni, Krishna Prasad Akkineni, Souvik Sardar, Goutam Kintada
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Journal of Cardiovascular Medicine and Surgery 11(2):p 75-78, May -Aug 2025. | DOI: https://doi.org/10.21088/jcms.2454.7123.11225.5
How Cite This Article:
Mohan Prasad Akkineni, Krishna Prasad Akkineni, Souvik Sardar et. al, Simultaneous tombstone ST elevations in Anterior and Inferior Leads. Indian J Cardiovasc Med Surg. 2025;11(2): 75–78.Timeline
Received : July 21, 2025
Accepted : August 12, 2025
Published : August 30, 2025
Abstract
ECG changes of ST elevation and reciprocal ST depressions are necessary for diagnosis of ST elevation myocardial infarction which requires urgent revascularization. The reciprocal changes are crucial and help to differentiate from other conditions like pericarditis. However, sometimes in myocardial infarction ST elevations can occur in both anterior and inferior leads which are electrically opposite leading to a confounding situation.
References
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Mohan Prasad Akkineni, Krishna Prasad Akkineni, Souvik Sardar et. al, Simultaneous tombstone ST elevations in Anterior and Inferior Leads. Indian J Cardiovasc Med Surg. 2025;11(2): 75–78.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| July 21, 2025 | August 12, 2025 | August 30, 2025 |
DOI: https://doi.org/10.21088/jcms.2454.7123.11225.5
Keywords
Simultaneous ST elevationsTombstoningLocalizationSearch for Similar Articles
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Timeline
| Received | July 21, 2025 |
| Accepted | August 12, 2025 |
| Published | August 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
