Case Study: An Emerging Etiology for ST-Segment Elevation in Lead aVR - Report - MDSpire

Case Study: An Emerging Etiology for ST-Segment Elevation in Lead aVR

  • By

  • Wei Li

  • Yang Liu

  • Pan Feng

  • Chaoji Huangfu

  • Dayong Du

  • April 29, 2026

  • 0 min

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Clinical Report: An Emerging Etiology for ST-Segment Elevation in Lead aVR

Overview

Revise to specify the clinical implications of left subclavian artery stenosis in relation to ST-segment elevation in lead aVR.

Background

ST-segment elevation in lead aVR is typically associated with critical left main or triple-vessel coronary artery disease, indicating severe myocardial ischemia. In post-CABG patients, persistent ischemic symptoms despite patent grafts necessitate consideration of alternative causes, such as extracoronary vascular lesions. Recognizing these atypical presentations can significantly impact patient management and outcomes.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

Rephrase findings for clarity and ensure they are directly supported by the case details.

Clinical Implications

Highlight the importance of timely intervention for left subclavian artery stenosis.

Conclusion

Reinforce the significance of identifying extracoronary causes in improving patient outcomes.

References

  1. American College of Cardiology, ACC, AHA Issue New Acute Coronary Syndromes Guideline, 2025 -- ACC, AHA Issue New Acute Coronary Syndromes Guideline
  2. LIMA-LAD Steal Syndrome as a Cause of Post-CABG Angina, PubMed, 2025 -- LIMA-LAD Steal Syndrome as a Cause of Post-CABG Angina
  3. Clinical Research in Cardiology — Bilateral Infective Endocarditis: Management of Cardiac Resynchronization Device Leads and Left Atrial Appendage Closure
  4. Pediatric Cardiology — Ventricular Dysfunction Resulting from Aberrant Conduction in Double Ventricular Response
  5. Clinical Research in Cardiology — Do atrial high rate episodes (AHREs) serve as an early indicator of atrial fibrillation?
  6. Pediatric Cardiology — Coronary Artery Anomaly Originating from the Incorrect Sinus in a 15-Year-Old Male Patient
  7. ACC, AHA Issue New Acute Coronary Syndromes Guideline - American College of Cardiology
  8. LIMA-LAD Steal Syndrome as a Cause of Post-CABG Angina - PubMed
  9. PULSE: Does CCTA After PCI For Unprotected Left Main Disease Reduce Major CV Events? - American College of Cardiology

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