Anterolateral myocardial infarction: a diagnostic challenge
Brazil
Case presentation
Identification: Caucasian man, 61 years old, lawyer
Complaint: dyspnea and dizziness 1 month ago related to physical efforts. Also he complains atypical chest pain and palpitations
Personal antecedents: history of high blood pressure, dyslipidemia and type 2 diabetes mellitus. He denies syncope
Family background: parents deceased of unknown causes. Two brothers with «cardiomyopathy“.
Current medications: losartan 50mg 2x/day, hydrochlorothiazide 25mg, amlodipine 5mg, simvastatin 20mg, glifage 500mg, gliclazide 80mg 1x/day, and atenolol 50mg
Physical: BP = 150 x 100 mmHg; RCR 2T b4 systolic murmur + / 4 in mitral focus, clear lungs. Abdomen: normal. No peripheral edema. Palpable peripheral pulses.
Lab: Normal troponin and CK-MB
ECG1 and ECG2. Additionally, we performed transthoracic echo and coronary angiography.
Question
Which is the electrocardiographic and clinical diagnosis?
