Anterolateral myocardial infarction: a diagnostic challenge

Dr. Raimundo Barbosa Barros
Dr. Raimundo Barbosa Barros

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.


Which is the electrocardiographic and clinical diagnosis?

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Auspicios Institucionales
  • Sociedad Argentina de Cardiología
  • Federación Argentina de Cardiología
  • SIAC
  • Asociación Argentina de Cardiología
  • Latin American Heart Rhythm Society
  • Fundación Barceló - Facultad de Medicina