Regional pericarditis with reciprocal ECG changes mimicking inferior ST-elevation myocardial infarction (STEMI): A case report
| Autor: | Gilang Mauladi Rahman, Mochammad Yusuf Alsagaff |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | JKKI (Jurnal Kedokteran dan Kesehatan Indonesia), Vol 11, Iss 1, Pp 85-91 (2020) |
| Druh dokumentu: | article |
| ISSN: | 2085-4145 2527-2950 |
| DOI: | 10.20885/JKKI.Vol11.Iss1.art13 |
| Popis: | Acute pericarditis is generally presented with a chest pain and a diffuse ST-segment elevation in ECG. Focal ST-segment elevation due to localised inflammation of pericardium in regional pericarditis could resemble ST-elevation myocardial infarction (STEMI). A case in this study was a 30-year-old man in emergency room as a surgery resident experiencing recently acute typical chest pain. He had a history of smoking without other cardiovascular disease risk factors. ECG immediately was conducted, and it revealed ST-segment elevation in an inferior lead with reciprocal ST-segment depression in aVL, which was typical for an inferior STEMI. Primary PCI was conducted, and it surprisingly revealed a normal coronary artery. Serial serum cardiac biomarkers found a normal cardiac troponin-I level ( |
| Databáze: | Directory of Open Access Journals |
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