ArticleCureus2025
Atypical Presentation of Non-dominant Right Coronary Artery Occlusion: Precordial ST-Segment Elevation.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This case report details a rare presentation of ST-segment elevation myocardial infarction (STEMI) in a 46-year-old male, highlighting an unusual electrocardiographic (ECG) pattern where proximal total occlusion of the right coronary artery (RCA) manifested with ST-segment elevation (STE) in both inferior leads (II, III, aVF) and, strikingly, anterior precordial leads (V1-V6). Typically, precordial STE is a hallmark sign of anterior myocardial infarction (MI), commonly linked to occlusion of the left anterior descending (LAD) coronary artery. This patient's ECG initially suggested a widespread myocardial insult, but subsequent coronary angiography definitively pinpointed a complete blockage in the proximal RCA, while the LAD and circumflex arteries were normal. This case should influence diagnostic reasoning by compelling clinicians to consider a wider differential diagnosis for STEMI and to avoid absolute reliance on classic ECG patterns. The diagnostic workup of such unusual cases should include clinical presentations with updated ECG criteria and integrated imaging algorithms such as comprehensive transthoracic echocardiography to ensure accurate diagnosis and timely reperfusion therapy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.