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Acute myocardial infarction presented with isolated precordial lead elevation in v2

1 Department of Family Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung; Department of Family Medicine, Tri-Service General Hospital, Taipei, Taiwan
2 Department of Family Medicine, Tri-Service General Hospital, Taipei, Taiwan
3 Department of Internal Medicine, Division of Cardiology, Kaohsiung Armed Forces General Hospital; Institute of Medical Science and Technology, National Sun Yat-Sen University, Kaohsiung, Taiwan

Correspondence Address:
Shih-Chung Huang,
Kaohsiung Armed Forces General Hospital, No. 2, Zhongzheng 1st Road, Lingya District, Kaohsiung 802
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_1_20

Atrial fibrillation (Af) with acute myocardial infarction (AMI) is a life-threatening disease, and electrocardiogram is indispensable for the initial diagnosis of high-risk patterns in the emergency department. Here we report a case of a 63-year-old male of Af with AMI, presented with isolated elevation of the precordial V2 lead ST-segment, mostly arising from major occlusion of the left main coronary artery and right coronary artery.


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