case_images: PMC8020180_01
case_images: DII, DIII and aVF leads show 1 mm ST elevation, and 0.5-1 mm ST depression in DI and aVL leads.
case_images: MEDJ-36-063-f1.jpg
case_images: PMC8020180_01_MEDJ-36-063-f1.jpg
case_images: F1
case_images: His cardiac examination at that time was also within normal limits. However, a 12-lead electrocardiogram (ECG) showed the inferior STEMI (Figure 1).
case_images: Emergency coronary angiography of the patient shows 30-40% stenosis in the left anterior descending artery.
case_images: MEDJ-36-063-f2.jpg
case_images: PMC8020180_01_MEDJ-36-063-f2.jpg
case_images: F2
case_images: In addition to this, the left main coronary artery, left circumflex artery and right coronary artery were observedly normal (Figure 2).
case_images: It is seen that the ST elevation and depressions regress relative to the patient's first ECG.
case_images: MEDJ-36-063-f3.jpg
case_images: PMC8020180_01_MEDJ-36-063-f3.jpg
case_images: F3
case_images: ST segment elevation regressed in the ECG of the patient, who had no more ischemic cardiac symptoms after the intervention (Figure 3).
case_images: 3D ECG /Cardiogoniometry performed to the patient shows septal inferior myocardial ischemia.
case_images: MEDJ-36-063-f4.jpg
case_images: PMC8020180_01_MEDJ-36-063-f4.jpg
case_images: F4
case_images: Cardiogoniometry (a non-invasive medical tool worked with spatiotemporal vectocardiographic advancement), was performed after 24 hours of the pain, it revealed septal inferior myocardial ischemia (Figure 4), and supported our diagnosis.