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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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
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author Bai, Xiaopeng
Wang, Yufeng
Shi, Shuai
Sun, Lixiu
Zhao, Jia
Liu, Bingchen
author_facet Bai, Xiaopeng
Wang, Yufeng
Shi, Shuai
Sun, Lixiu
Zhao, Jia
Liu, Bingchen
author_sort Bai, Xiaopeng
collection PubMed
description 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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spelling pubmed-89165492022-03-18 Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis Bai, Xiaopeng Wang, Yufeng Shi, Shuai Sun, Lixiu Zhao, Jia Liu, Bingchen Ann Noninvasive Electrocardiol Case Reports 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. John Wiley and Sons Inc. 2021-11-05 /pmc/articles/PMC8916549/ /pubmed/34738690 http://dx.doi.org/10.1111/anec.12906 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Bai, Xiaopeng
Wang, Yufeng
Shi, Shuai
Sun, Lixiu
Zhao, Jia
Liu, Bingchen
Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title_full Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title_fullStr Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title_full_unstemmed Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title_short Electrocardiogram evolution of acute anterior ST‐segment elevation myocardial infarction following pericarditis
title_sort electrocardiogram evolution of acute anterior st‐segment elevation myocardial infarction following pericarditis
topic Case Reports
url 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
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