The South African Flag Sign: An Electrocardiographic Flag for All Coronary Territories?

oleh: Steven Swarath MBBS, Nicole Maharaj MBBS, Andrew Hall MBBS, Jean Marie Frederick MBBS, Rajeev Seecheran MBBS, MHA, Valmiki Seecheran MBBS, MSc, Naveen Anand Seecheran MBBS (MD), MSc

Format: Article
Diterbitkan: SAGE Publishing 2023-08-01

Deskripsi

The South African flag sign (SAFS) is an acute, dynamic electrocardiographic (ECG) finding typically associated with first diagonal (D 1 ) artery occlusion. We report the case of a 47-year-old woman who exhibited this pattern but subsequently revealed the dreaded “widow-maker” lesion (100% occluded proximal left anterior descending [LAD] artery) and severe multivessel disease (90% stenosis of the posterior left ventricular [PLV] artery and 80% stenosis of the left circumflex artery [LCx]).