Author/Authors :
Habash, Fuad University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA , Albashaireh, Arwa University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA , Eid Madman, Mohammed University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA , Paydak, Hakan University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA
Abstract :
ST segment changes are well documented in literature during supraventricular tachycardias. We present a case of a 21-year-old
male who presents with chest pain, shortness of breath, and dizziness with an ECG showing atrioventricular reentrant
tachycardia and diffuse ST segment depressions. Patient spontaneously converted to sinus rhythm, but he was still complaining
of crushing chest pain. ECG taken after conversion showed sinus rhythm at a rate of 65 and showed obvious persistence of ST
depressions in majority of leads. Emergent left heart catheterization showed normal coronaries. Such ST depression is suggestive
of global ischemia in small intracardiac vessels that cannot be evaluated by left heart catheterization.
Keywords :
Tachycardia , Coronary , Artery Disease , Supraventricular
