PMID- 36997382
OWN - NLM
STAT- MEDLINE
DCOM- 20230425
LR  - 20230501
IS  - 1532-8171 (Electronic)
IS  - 0735-6757 (Linking)
VI  - 67
DP  - 2023 May
TI  - Look before you place: A bizarre ECG artifact due to lead placement.
PG  - 194.e7-194.e10
LID - S0735-6757(23)00149-3 [pii]
LID - 10.1016/j.ajem.2023.03.034 [doi]
AB  - The Electrocardiogram (ECG) is a readily available non-invasive test used in the 
      evaluation of a patient with angina. ECG artifacts are common and stem from a 
      number of different reasons including lead placement and must be identified to 
      appropriately manage patients. We present the case of an elderly patient for whom 
      an ECG was performed to evaluate chest pain showing an abnormal waveform 
      concerning for an ST elevation myocardial infarction (STEMI). Closer inspection 
      of the ECG revealed a characteristic pattern documented in the literature known 
      as Aslanger's Sign seen when an ECG lead is placed over an artery.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Brock, Jonathan
AU  - Brock J
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA. Electronic address: jrbrock@wakehealth.edu.
FAU - Schmitt, Alexander
AU  - Schmitt A
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA.
FAU - Bhave, Prashant
AU  - Bhave P
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA.
FAU - Whalen, S Patrick
AU  - Whalen SP
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA.
FAU - Simmons, Tony
AU  - Simmons T
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA.
FAU - Singleton, Matthew
AU  - Singleton M
AD  - Wellspan Hospital, York, PA, USA.
FAU - Shantha, Ghanshyam
AU  - Shantha G
AD  - Cardiac Electrophysiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, 
      USA.
LA  - eng
PT  - Case Reports
DEP - 20230322
PL  - United States
TA  - Am J Emerg Med
JT  - The American journal of emergency medicine
JID - 8309942
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Artifacts
MH  - *ST Elevation Myocardial Infarction/diagnosis
MH  - Electrocardiography
MH  - Chest Pain/diagnosis/etiology
MH  - Angina Pectoris
OTO - NOTNLM
OT  - Aslanger's sign
OT  - Lead placement
OT  - Pseudo-myocardial infarction
COIS- Declaration of Competing Interest The authors have no conflicts to declare.
EDAT- 2023/03/31 06:00
MHDA- 2023/04/25 10:20
CRDT- 2023/03/30 22:04
PHST- 2023/03/18 00:00 [received]
PHST- 2023/03/20 00:00 [accepted]
PHST- 2023/04/25 10:20 [medline]
PHST- 2023/03/31 06:00 [pubmed]
PHST- 2023/03/30 22:04 [entrez]
AID - S0735-6757(23)00149-3 [pii]
AID - 10.1016/j.ajem.2023.03.034 [doi]
PST - ppublish
SO  - Am J Emerg Med. 2023 May;67:194.e7-194.e10. doi: 10.1016/j.ajem.2023.03.034. Epub 
      2023 Mar 22.