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PubMed · 17225732

[Acute ST-segment elevation also possible in non-coronary disorders].

G A J Jessurun·F Zijlstra·H J Siebelink
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Abstract

Three patients were referred with symptoms of acute coronary syndrome. The ECG results indicated ST-segment elevation. A 39-year-old man had normal coronary arteries and was eventually diagnosed with pericarditis and myocarditis. A 71-year-old woman had ST-segment elevation caused by mechanical pressure from a chest drain that was inserted for a pneumothorax. A 62-year-old man was admitted to the intensive care unit and was found to have ST-segment elevation related to sepsis and non-significant coronary artery disease. All 3 patients recovered following adequate treatment. Percutaneous coronary intervention is the first choice therapy for ST-segment elevation myocardial infarction (STEMI). However, ST-segment elevation can also occur in patients with non-coronary disorders. Clinicians should be encouraged to scrutinise 'STEMI' as a referral diagnosis and check if there are signs of coronary mimicry, i.e. ECG changes due to a non-coronary underlying cause. The ECG changes should be considered in relation to the clinical data at presentation, rather than interpreted as a single diagnostic finding.

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Acute DiseaseAdultAgedCoronary DiseaseDiagnosis, DifferentialElectrocardiographyElectrodiagnosisFemaleHumansMaleMiddle AgedMyocarditisPericarditisPressureSepsisCase ReportsEnglish AbstractJournal Article

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G A J Jessurun, F Zijlstra, H J Siebelink. 2006-04-29. [Acute ST-segment elevation also possible in non-coronary disorders].. https://pubmed.ncbi.nlm.nih.gov/17225732/

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