Acute ST-segment elevation myocardial infarction: to be or not to be?

被引：2

作者：

Manzur Barbur, Maria Carolina ^{[1
]}

Martinez-Avila, Maria Cristina ^{[1
]}

Imitola Madero, Angelica ^{[2
]}

Garcia Nunez, Jose Fernando ^{[3
]}

Garcia Dominguez, Juan Camilo ^{[4
]}

机构：

[1] Ctr Hosp Serena del Mar, Dept Internal Med, Cartagena, Colombia

[2] Ctr Hosp Serena del Mar, Div Endocrinol Diabet & Metab, Cartagena, Colombia

[3] Ctr Hosp Serena del Mar, Dept Cardiol, Intervent Electrocardiol, Cartagena, Colombia

[4] Ctr Hosp Serena del Mar, Dept Cardiol Echocardiog & Cardiac Imaging, Cartagena, Colombia

来源：

ARCHIVE OF CLINICAL CASES | 2022年 / 9卷 / 01期

关键词：

hypocalcemia; electrocardiogram; ST segment elevation myocardial infarction; hypoparathyroidism; ELECTROCARDIOGRAPHIC MANIFESTATIONS;

D O I：

10.22551/2022.34.0901.10198

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Calcium has a significant effect on cells in the myocardium, affecting conduction, intracellular signaling and contraction of muscle fibers. In fact, calcium levels could affect myocardial action potential and affect heart conduction. Hypocalcemia manifest on ECG with arrythmias or QT prolongation, in some extraordinary cases, it could present with variations in the ST segment, which requires the study of differential diagnoses of cardiac origin, such as acute myocardial infarction with ST elevation (STEMI) or pericarditis. We expose a case of a 28-year-old male patient who arrived at the emergency department with chest pain and was misdiagnosed with STEMI, after a complex process finally it was a severe hypocalcemia mimicking acute myocardial infarction.

引用

页码：19 / 23

页数：5

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[1] Acute Myocardial Infarction with ST-Segment Elevation
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Zelaya, F.
Isa, M.
Sala, J.
Pacheco, G.
Balestrini, C.
Serra, C.
Quiroga, C.
Bossi, A.
[J]. CIRCULATION, 2008, 118 (12) : E475 - E475
[2] Acute ST-segment elevation myocardial infarction
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Menon, Venu
Cannon, Christopher P.
Steg, Gabriel
Ohman, E. Magnus
Harrington, Robert A.
[J]. CHEST, 2008, 133 (06) : 708S - 775S
[3] ST-SEGMENT ELEVATION IN ACUTE MYOCARDIAL-INFARCTION
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DALSGAARD, P
NIELSEN, JS
THAYSSEN, P
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[J]. DANISH MEDICAL BULLETIN, 1975, 22 (03): : 113 - 119
[4] Management of acute myocardial infarction with ST-segment elevation
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