Parapneumonic ST segment elevation

被引：0
|
作者：
Laranjeira Correia, Joana Maria [1 ]
Ferreira, Goncalo R. M. [1 ]
Neto, Vanda [1 ]
Fiuza, Joao [1 ]
Costa, Antonio [1 ]
Goncalves, Maria Luisa [1 ]
机构：
[1] Tondela Viseu Hosp Ctr, Cardiol Dept, Viseu, Portugal
来源：
COR ET VASA | 2023年 / 65卷 / 05期
关键词：
Differential diagnosis; Electrocardiogram; Pleural effusion; Pneumococcal pneumonia; ST-segment elevation;
D O I：
10.33678/cor.2023.014
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The presence of ST-segment elevation on the 12-lead electrocardiogram in a patient with suggestive symptoms of myocardial infarction should trigger an early diagnosis of ST-segment elevation myocardial infarction and urgent intervention to restore coronary perfusion, usually by percutaneous coronary intervention. However, several diseases and conditions can mimic an acute myocardial infarction or the ST-segment elevation pattern on the electrocardiogram. We report a clinical case of a patient hospitalized with the first diagnosis of pneumonia, who developed a de novo anteroseptal ST-segment elevation on electrocardiogram and clinical pain suggestive of transmural myocardial infarction. Emergent coronary angiography excluded coronary heart disease, and further investigation led to an unexpected final diagnosis.
引用
收藏
页码：773 / 776
页数：4
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