Anterior wall ST-elevation myocardial infarction in biventricular paced rhythm

Herzschrittmacherther Elektrophysiol. 2020 Jun;31(2):228-231. doi: 10.1007/s00399-020-00682-y. Epub 2020 May 2.


There is a lack of evidence on electrocardiographic criteria for ST-elevation myocardial infarction (STEMI) in patients with biventricular paced rhythm. In all previous case reports of STEMI in biventricular paced rhythm, concordant ST-elevations and/or discordant ST-elevations >5 mm were present. This report describes the case of a patient with anterior STEMI and discordant ST-elevations of less than 5 mm during biventricular stimulation with epicardial left ventricular lead and highlights the importance of comparing the electrocardiogram to previous recordings when STEMI is suspected.

Keywords: Biventricular stimulation; Cardiac resynchronisation therapy; Electrocardiography; Epicardial lead; Myocardial ischemia; Sgarbossa criteria.

Publication types

  • Case Reports

MeSH terms

  • Electrocardiography
  • Humans
  • ST Elevation Myocardial Infarction*