Ventricular Aneurysm - ECG
Ventricular aneurysm is one of many complications of a myocardial infarction. The ECG may have present ST segment elevations resembling Pardee’s waves in a STEMI heart attack. For this reason, we suspect a ventricle aneurysm in a patient who has already suffered a STEMI and there are lasting ST elevations. Echocardiography can confirm the diagnosis.
(History: Patient has four 4 weeks after the anterior wall STEMI myocardial infarction) We see the post-infarction scar of the front wall (deep Q in V-V4). The situation is complicated by a suspected post-infarction ventricular aneurysm as the ST segments are elevated in V1-V4, especially in V4 (red underline).
Conclusion: If you find ST segment elevations in ECG in a patient with highly improbable STEMI (clinical status, history), you should perform the echocardiography to reliably detect and evaluate the ventricle aneurysm. If such ECG is present in a patient with acute chest pain, you should always deal with the patient as with an acute myocardial infarction case and not a ventricular aneurysm.