Sub aortic tendon induced ST segment elevation - a new echo electrocardiographic phenomenon?

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Authors

Ker, James A.

Journal Title

Journal ISSN

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Publisher

BioMed Central

Abstract

The causes for ST-segment elevation other than myocardial infarction are numerous. The existence of left ventricular false tendons has been known for more than a century. Currently, the clinical entities associated with these left ventricular false tendons include innocent murmurs and premature ventricular contractions. A case report is presented where such a false tendon, attached to the interventricular septum, is responsible for striking ST-segment elevation in the anterior precordial leads. It is proposed that this is a newly observed entity that of subaortic tendon-induced ST-segment elevation. This is proposed as a totally benign phenomenon with the clinical importance in that it should not be confused with other pathological processes, such as the Brugada syndrome.

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Keywords

ST-segment, Myocardial infarction, Innocent murmurs, Premature ventricular contractions, Left ventricular false tendons

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Citation

Ker, JA 2009, 'Subaortic tendon induced ST segment elevation - a new echo electrocardiographic phenomenon?', Cardiovascular Ultrasound, vol. 7, no. 1. [http://www.cardiovascularultrasound.com/]