A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability

Chest pain is a common emergency department complaint, but a small percentage of patients with this complaint experience acute coronary syndrome, with a still smaller percentage having ST-elevation myocardial infarction (STEMI) with hemodynamic instability and arrhythmia. A 56-year-old female presen...

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Detalles Bibliográficos
Autores principales: Potter, Terence, Spencer, Katherine, White, Michael D, Comp, Geoffrey B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897420/
https://www.ncbi.nlm.nih.gov/pubmed/33633888
http://dx.doi.org/10.7759/cureus.12857
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author Potter, Terence
Spencer, Katherine
White, Michael D
Comp, Geoffrey B
author_facet Potter, Terence
Spencer, Katherine
White, Michael D
Comp, Geoffrey B
author_sort Potter, Terence
collection PubMed
description Chest pain is a common emergency department complaint, but a small percentage of patients with this complaint experience acute coronary syndrome, with a still smaller percentage having ST-elevation myocardial infarction (STEMI) with hemodynamic instability and arrhythmia. A 56-year-old female presented to our emergency department with acute chest pain. She was diagnosed with inferior wall STEMI, had complete heart block and hemodynamic instability, and underwent emergent reperfusion via coronary catheterization. This combination of signs and symptoms required thoughtful assessment and treatment along with diagnostic accuracy and proper disposition. This case offers a review of this uncommon presentation, including pathophysiology and treatment.
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spelling pubmed-78974202021-02-24 A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability Potter, Terence Spencer, Katherine White, Michael D Comp, Geoffrey B Cureus Cardiology Chest pain is a common emergency department complaint, but a small percentage of patients with this complaint experience acute coronary syndrome, with a still smaller percentage having ST-elevation myocardial infarction (STEMI) with hemodynamic instability and arrhythmia. A 56-year-old female presented to our emergency department with acute chest pain. She was diagnosed with inferior wall STEMI, had complete heart block and hemodynamic instability, and underwent emergent reperfusion via coronary catheterization. This combination of signs and symptoms required thoughtful assessment and treatment along with diagnostic accuracy and proper disposition. This case offers a review of this uncommon presentation, including pathophysiology and treatment. Cureus 2021-01-22 /pmc/articles/PMC7897420/ /pubmed/33633888 http://dx.doi.org/10.7759/cureus.12857 Text en Copyright © 2021, Potter et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiology
Potter, Terence
Spencer, Katherine
White, Michael D
Comp, Geoffrey B
A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title_full A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title_fullStr A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title_full_unstemmed A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title_short A 56-Year-Old Female With Acute ST-Segment Elevation Myocardial Infarction, Complete Heart Block, and Hemodynamic Instability
title_sort 56-year-old female with acute st-segment elevation myocardial infarction, complete heart block, and hemodynamic instability
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897420/
https://www.ncbi.nlm.nih.gov/pubmed/33633888
http://dx.doi.org/10.7759/cureus.12857
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