Multiple coronary occlusions associated with ST-segment elevation

We describe the case of a patient with rapid sequential ST-segment elevatio n in different areas on the electrocardiogram (ECG) associated with lesions of differing etiologies in the corresponding coronary arteries. Prior repo rts of ST-segment elevations in multiple areas on the ECG have been from ob structions of single coronary vessels whose distribution overlapped separat e areas on the ECG or spasm of multiple coronary arteries. We could find no prior reports of such rapid sequential ST-elevation in different areas on the ECG caused by two differing etiologies.