Electrocardiographical case. Acute severe chest tightness.

Tan JWC, Gunasegaran K, Teo WS
Correspondence: Dr Jack W C Tan, jacktanwc@gmail.com

ABSTRACT
The early diagnosis of acute myocardial infarction is crucial for the institution of appropriate reperfusion therapy. We describe a 56-year-old man who developed sudden onset of severe chest tightness. Inferior, posterior and right ventricular ST elevation myocardial infarction was diagnosed on electrocardiography (ECG). The ECG interpretation, differential diagnosis and management are discussed.

Keywords: acute myocardial infarction, chest pain, electrocardiography, right ventricular infarction
Singapore Med J 2006; 47(10): 913-917