Dynamic ST-Segment Abnormality

Elias B Hanna; Paul A LeLorier; D Luke Glancy

doi:10.1016/j.amjcard.2017.09.036

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Journal article

Peer reviewed

Dynamic ST-Segment Abnormality

Elias B Hanna, Paul A LeLorier and D Luke Glancy

The American journal of cardiology, Vol.121(3), pp.390-391

02/01/2018

DOI: 10.1016/j.amjcard.2017.09.036

PMID: 29191564

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Abstract

A 37-year-old man came to the emergency department because of several days of intermittent chest pain. An electrocardiogram (ECG) showed sinus rhythm, left atrial and left ventricular enlargement, and an early repolarization pattern. A second ECG recorded 10 minutes later was strikingly different, with ST-segment elevation and large upright T waves in the anterior precordial leads, interpreted as evidence of an ST-segment elevation myocardial infarction, and the cardiac catheterization team was activated. Closer inspection of the ECG, however, disclosed that the changes were because of intermittent ventricular pre-excitation of the Wolff-Parkinson-White type, and no electrocardiographic, echocardiographic, or serum markers of myocardial infarction were found.

Adult

Biomarkers - blood

Chest Pain

Diagnosis, Differential

Echocardiography

Electrocardiography

Humans

Male

Pre-Excitation Syndromes - diagnosis

Pre-Excitation Syndromes - physiopathology

Details

Title: Subtitle: Dynamic ST-Segment Abnormality
Creators: Elias B Hanna - University Medical Center New Orleans
Paul A LeLorier - University Medical Center New Orleans
D Luke Glancy - University Medical Center New Orleans
Resource Type: Journal article
Publication Details: The American journal of cardiology, Vol.121(3), pp.390-391
DOI: 10.1016/j.amjcard.2017.09.036
PMID: 29191564
ISSN: 0002-9149
eISSN: 1879-1913
Language: English
Date published: 02/01/2018
Academic Unit: Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984359794102771

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