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01.03.2009 | Case report | Ausgabe 1/2009 Open Access

Cardiovascular Ultrasound 1/2009

Sub aortic tendon induced ST segment elevation – a new echo electrocardiographic phenomenon?

Zeitschrift:
Cardiovascular Ultrasound > Ausgabe 1/2009
Autor:
James Ker
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1476-7120-7-13) contains supplementary material, which is available to authorized users.

Competing interests

The author declares that they have no competing interests.

Abstract

The causes for ST-segment elevation other than myocardial infarction are numerous.
The existence of left ventricular false tendons has been known for more than a century. Currently, the clinical entities associated with these left ventricular false tendons include innocent murmurs and premature ventricular contractions.
A case report is presented where such a false tendon, attached to the interventricular septum, is responsible for striking ST-segment elevation in the anterior precordial leads.
It is proposed that this is a newly observed entity – that of subaortic tendon-induced ST-segment elevation. This is proposed as a totally benign phenomenon with the clinical importance in that it should not be confused with other pathological processes, such as the Brugada syndrome.
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