Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis

Electrocardiogram is a powerful tool for differentiating acute ST‐segment elevation myocardial infarction (STEMI) and pericarditis. However, an unusual ECG presentation of the simultaneous occurrence of the two conditions has not been reported previously. In this article, we report a case of ECG evo...

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Detalles Bibliográficos
Autores principales: Bai, Xiaopeng, Wang, Yufeng, Shi, Shuai, Sun, Lixiu, Zhao, Jia, Liu, Bingchen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8916549/
https://www.ncbi.nlm.nih.gov/pubmed/34738690
http://dx.doi.org/10.1111/anec.12906
Descripción
Sumario:Electrocardiogram is a powerful tool for differentiating acute ST‐segment elevation myocardial infarction (STEMI) and pericarditis. However, an unusual ECG presentation of the simultaneous occurrence of the two conditions has not been reported previously. In this article, we report a case of ECG evolution of acute anterior STEMI following pericarditis with pericardial effusion (PE) and find that QRS complex widening in ECG lead with maximal ST‐segment elevation is also applicable for identifying STEMI even in patients with prior pericarditis. Undoubtedly, our case can help prevent emergency physicians from making incorrect diagnoses and administering inappropriate treatments.

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