Left armeleft leg lead reversal in a case of inferior wall myocardial infarction mimics as high lateral wall infarction

Authors

  • Satish Karur, Soumya Patra, Ravindranath K. Shankarappa, Navin Agrawal, Manjunath Cholenahally Nanjappa Author

Keywords:

Lead reversal Inferior wall MI Lateral wall MI Re-infarction

Abstract

A 56-year-old male patient was admitted with an evolved inferior wall myocardial infarction (IWMI). Electrocardiogram (ECG) showed presence of ST elevation and T wave inversion in the inferior leads. ECG taken on the next day surprisingly showed features suggestive of acute high lateral wall myocardial infarction (LWMI), without features suggestive of re-infarction which was finally diagnosed to be an artefact due to lead reversal. Lead reversal between left arm and left leg can mimic as high LWMI in a case with IWMI and we should aware of this situation before misdiagnosing it as re-infarction

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Published

2013-08-30

Issue

Vol. 4 No. 3 (2013): volume 4 issue 3 (2013)

Section

Articles