PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis

PR‐segment depression with multilead ST‐segment elevation and ST‐segment depression in lead aVR are classic ECG manifestation of acute pericarditis. We present a patient, where the etiology of these ECG features was acute ST‐elevation myocardial infarction due to left circumflex artery occlusion. To...

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Detalles Bibliográficos
Autores principales: Zhan, Zhong‐Qun, Nikus, Kjell, Birnbaum, Yochai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7679824/
https://www.ncbi.nlm.nih.gov/pubmed/32083371
http://dx.doi.org/10.1111/anec.12752
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author Zhan, Zhong‐Qun
Nikus, Kjell
Birnbaum, Yochai
author_facet Zhan, Zhong‐Qun
Nikus, Kjell
Birnbaum, Yochai
author_sort Zhan, Zhong‐Qun
collection PubMed
description PR‐segment depression with multilead ST‐segment elevation and ST‐segment depression in lead aVR are classic ECG manifestation of acute pericarditis. We present a patient, where the etiology of these ECG features was acute ST‐elevation myocardial infarction due to left circumflex artery occlusion. To avoid misdiagnosis, unnecessary examinations, and inappropriate therapeutic decisions, the possibility of ST‐segment elevation myocardial infarction should be kept in mind even when ECG changes typical for pericarditis are encountered in chest pain patients. Findings of QRS widening and QT interval shortening in leads with ST‐segment elevation could help to differentiate acute ST‐segment elevation myocardial infarction from acute pericarditis.
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spelling pubmed-76798242020-11-27 PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis Zhan, Zhong‐Qun Nikus, Kjell Birnbaum, Yochai Ann Noninvasive Electrocardiol Case Reports PR‐segment depression with multilead ST‐segment elevation and ST‐segment depression in lead aVR are classic ECG manifestation of acute pericarditis. We present a patient, where the etiology of these ECG features was acute ST‐elevation myocardial infarction due to left circumflex artery occlusion. To avoid misdiagnosis, unnecessary examinations, and inappropriate therapeutic decisions, the possibility of ST‐segment elevation myocardial infarction should be kept in mind even when ECG changes typical for pericarditis are encountered in chest pain patients. Findings of QRS widening and QT interval shortening in leads with ST‐segment elevation could help to differentiate acute ST‐segment elevation myocardial infarction from acute pericarditis. John Wiley and Sons Inc. 2020-02-21 /pmc/articles/PMC7679824/ /pubmed/32083371 http://dx.doi.org/10.1111/anec.12752 Text en © 2020 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Zhan, Zhong‐Qun
Nikus, Kjell
Birnbaum, Yochai
PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title_full PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title_fullStr PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title_full_unstemmed PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title_short PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis
title_sort pr depression with multilead st elevation and st depression in avr by left circumflex artery occlusion: how to differentiate from acute pericarditis
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7679824/
https://www.ncbi.nlm.nih.gov/pubmed/32083371
http://dx.doi.org/10.1111/anec.12752
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AT birnbaumyochai prdepressionwithmultileadstelevationandstdepressioninavrbyleftcircumflexarteryocclusionhowtodifferentiatefromacutepericarditis

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