A 49-year-old woman presented in fulminant hepatic failure. The ECG showed dramatic ST-segment elevation, suggesting diffuse myocardial injury. However, echocardiography, creatine phosphokinase enzyme determinations, and examination of the heart at autopsy (six days later) failed to demonstrate any physiologic, anatomic, or histologic evidence of abnormality. The appearance of ST-segment elevation in this setting should not prompt treatment for cardiac disease or limit the candidacy for liver transplantation of such critically ill patients.
机构:
Wright State Univ, Miami Valley Hosp, Emergency Med Residency, Dayton, OH 45435 USAWright State Univ, Miami Valley Hosp, Emergency Med Residency, Dayton, OH 45435 USA
机构:
Department of Noninvasive Cardiology and Hypertension, Central Clinical Hospital of the Ministry of the Interior andDepartment of Cardiology, Medical University of Warsaw
Radoslaw Piatkowski
论文数: 引用数:
h-index:
机构:
Robert Kowalik
论文数: 引用数:
h-index:
机构:
Janusz Kochman
Grzegorz Opolski
论文数: 0引用数: 0
h-index: 0
机构:
Department of Cardiology, Medical University of WarsawDepartment of Cardiology, Medical University of Warsaw