Vexillology on the electrocardiogram. South Africa ́s flag sign

The electrocardiogram (ECG) is a test that will allow making life-saving decisions. It has different patterns, and differential diagnoses, like the pattern of acute coronary syndrome with an elevation of the high lateral ST segment, which is called the sign of the flag of South Africa. We present th...

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Detalhes bibliográficos
Autores: Estupiñan-Paredes, Ruth N., Robayo-Betancourt, Ana M., Moreno-Ruiz, Nelson L.
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:Perú
Recursos:Instituto Nacional Cardiovascular
Repositório:Archivos peruanos de cardiología y cirugía cardiovascular
Idioma:espanhol
OAI Identifier:oai:apcyccv.org.pe:article/206
Acesso em linha:https://apcyccv.org.pe/index.php/apccc/article/view/206
Access Level:Acceso aberto
Palavra-chave:Infarto de micárdio
Electrocardiograma
Reperfusión Miocárdica
Myocardial Infarction
Electrocardiography
Myocardial Reperfusion
Descrição
Resumo:The electrocardiogram (ECG) is a test that will allow making life-saving decisions. It has different patterns, and differential diagnoses, like the pattern of acute coronary syndrome with an elevation of the high lateral ST segment, which is called the sign of the flag of South Africa. We present the case of a 44-year-old patient presented with typical chest pain; the ECG showed ST-segment elevation in the DI, DII, AVL – V2, and ST depression in DIII, corresponding to an acute coronary occlusion with a compromise of the lateral segment of the heart. This ECG pattern is known as the flag sign of South Africa. The early recognition allowed the decision to perform immediately pharmacological reperfusion therapy and rescue angioplasty.