A Right Turn in Diagnosis: Highlighting the Importance of TAPSE in Isolated Right Ventricular Myocardial Infarction.

ABSTRACT: Isolated right ventricular myocardial infarction (RVMI) is a rare but significant clinical entity that can present with atypical findings on a standard electrocardiograph (ECG). We present the case of a 65-year-old man with a history of chronic smoking and alcohol use who presented to the emergency department with acute chest pain. An initial ECG showed ST-segment elevation in lead V1 and depression in leads I, aVL, and V2-V6, which did not meet ST-segment elevation myocardial infarction (STEMI) criteria. A right-sided ECG revealed ST-segment elevation in V3R-V6R, concerning for RVMI. Notably, cardiac point of care ultrasound (POCUS) demonstrated normal left ventricular (LV) function without LV or right ventricular (RV) regional wall motion abnormalities (RWMA). However, tricuspid annular

SUBMITTER: Dinesh V 

PROVIDER: S-EPMC12057457 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature