Multiple Choice Question of the Week : Echo-08 : [Answer]


70-year-old patient, in the emergency room for acute chest pain. There is ST-segment elevation on the ECG.

Based on the echocardiogram, which acute ST-elevation myocardial infarction do you suspect?

A) Inferior
B) Lateral
C) Posterior
D) Postero-lateral

Right answer is: D) Postero-lateral

This case is the classic example of Postero-Lateral STEMI due to occlusion of the circumflex coronary artery.
Note the longitudinal strain analysis showing the segments affected by myocardial ischemia with marked post-systolic shortening.

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