Pseudo-hyperacute T Waves in a Giant Hiatal Hernia

An 89-year-old woman with a giant hiatal hernia complained of persistent chest pain. An electrocardiogram (ECG) showed hyperacute T waves, suggesting the early phase of ST-elevation myocardial infarction. After endoscopic drainage for hiatal hernia, the chest pain disappeared, and the ECG abnormalit...

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Autores principales: Ono, Hiroki, Uetani, Teruyoshi, Inaba, Shinji, Kawamata, Masaya, Hikita, Takahiro, Kawamata, Moeko, Oshita, Akira, Kawakami, Hideo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569919/
https://www.ncbi.nlm.nih.gov/pubmed/36754407
http://dx.doi.org/10.2169/internalmedicine.1084-22
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author Ono, Hiroki
Uetani, Teruyoshi
Inaba, Shinji
Kawamata, Masaya
Hikita, Takahiro
Kawamata, Moeko
Oshita, Akira
Kawakami, Hideo
author_facet Ono, Hiroki
Uetani, Teruyoshi
Inaba, Shinji
Kawamata, Masaya
Hikita, Takahiro
Kawamata, Moeko
Oshita, Akira
Kawakami, Hideo
author_sort Ono, Hiroki
collection PubMed
description An 89-year-old woman with a giant hiatal hernia complained of persistent chest pain. An electrocardiogram (ECG) showed hyperacute T waves, suggesting the early phase of ST-elevation myocardial infarction. After endoscopic drainage for hiatal hernia, the chest pain disappeared, and the ECG abnormalities resolved. The present case illustrates that compression of the heart by a giant hiatal hernia can induce T wave elevation mimicking acute coronary syndrome.
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spelling pubmed-105699192023-10-13 Pseudo-hyperacute T Waves in a Giant Hiatal Hernia Ono, Hiroki Uetani, Teruyoshi Inaba, Shinji Kawamata, Masaya Hikita, Takahiro Kawamata, Moeko Oshita, Akira Kawakami, Hideo Intern Med Case Report An 89-year-old woman with a giant hiatal hernia complained of persistent chest pain. An electrocardiogram (ECG) showed hyperacute T waves, suggesting the early phase of ST-elevation myocardial infarction. After endoscopic drainage for hiatal hernia, the chest pain disappeared, and the ECG abnormalities resolved. The present case illustrates that compression of the heart by a giant hiatal hernia can induce T wave elevation mimicking acute coronary syndrome. The Japanese Society of Internal Medicine 2023-02-08 2023-09-15 /pmc/articles/PMC10569919/ /pubmed/36754407 http://dx.doi.org/10.2169/internalmedicine.1084-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ono, Hiroki
Uetani, Teruyoshi
Inaba, Shinji
Kawamata, Masaya
Hikita, Takahiro
Kawamata, Moeko
Oshita, Akira
Kawakami, Hideo
Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title_full Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title_fullStr Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title_full_unstemmed Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title_short Pseudo-hyperacute T Waves in a Giant Hiatal Hernia
title_sort pseudo-hyperacute t waves in a giant hiatal hernia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569919/
https://www.ncbi.nlm.nih.gov/pubmed/36754407
http://dx.doi.org/10.2169/internalmedicine.1084-22
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