A Rare Case of Hypothermia-Induced ST Segment Elevation
| Autor: | Arnold N. Forlemu, Mohammad Khatib, Hursh Sarma |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Myocarditis Cardiology Cardiomyopathy osborn wave Pericarditis Internal medicine differential diagnosis Internal Medicine medicine ST segment cardiovascular diseases Myocardial infarction st segment elevation Brugada syndrome medicine.diagnostic_test business.industry Left bundle branch block General Engineering medicine.disease Emergency Medicine hypothermia business ekg Electrocardiography |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Prompt recognition of ST segment elevation myocardial infarction (STEMI) is critical as it has significant management and outcome implications, often leading to emergent cardiac catheterization for revascularization. However, other conditions such as pulmonary embolism, myocarditis, hyperkalemia, hypercalcemia, hypothermia, drug overdose, septic shock, left bundle branch block, left ventricular aneurysm, pericarditis, Brugada syndrome, and Takotsubo cardiomyopathy can mimic this presentation on electrocardiography (EKG) and need to be recognized to avoid unnecessary procedures and improve treatment outcomes. We report a case of prominent Osborn waves on EKG from significant hypothermia incorrectly labeled as STEMI. We also provide a literature review on EKG manifestations of hypothermia and the mechanism of those changes, the differential diagnoses of ST segment elevation and their management. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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