Abstract
Acil servise göğüs ağrısı ve ST
segment elevasyonu ile başvuran hastalarda akut miyokart infarktüsü ilk akla
gelen tanıdır. Acil ayırıcı tanı ve katater laboratuvarına koroner anjiyografi
için hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografi göğüs
ağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü ve
akut miyokardit elektrokardiyografik bulguları genel olarak farklı olsa da, nadiren
bu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipik
göğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ile
birlikte DI ve AVL derivasyonlarında resiprokal ST depresyonu görülen 21
yaşında erkek hasta vakası sunduk.
References
- 1- Nisbet BC, Breyer M. Acute myopericarditis with focal ECG findings mimicking acute myocardial infarction. J Emerg Med 2010; 39: 153-58
- 2-Thygesen K, Alpert JS, Jaffe AS et al. ESC Committee for Practice Guidelines. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551–67.
- 3-Pitts SR, Niska RW, Xu J, Burt CW, US Dept of Health and Human Services National hospital ambulatory medical care survey: 2006 emergency department summary. Natl Health Stat Report 2008; 6: 1-38.
- 4-Kusama Y1, Kodani E, Nakagomi A, Otsuka T, Atarashi H, Kishida H, Mizuno K. Variant angina and coronary artery spasm: The clinical spectrum,pathophysiology, and management. J Nippon Med Sch 2011; 78: 4-12
- 5-Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev 2007; 15: 24–30.
- 6-Lange RA, Hillis LD. Clinical practice. Acute pericarditis [published correction appears in N Engl J Med 2005; 352: 1163]. N Engl J Med 2004; 351: 2195–202.
- 7-Marinella MA. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 1998; 57: 699–704.
Abstract
In patients admitting to the
emergency department with chest pain and ST-segment elevation, the first
diagnosis to be considered is acute myocardial infarction. Urgent differential
diagnosis and immediately referral to catheter laboratory to perform coronary
angiography is life-saving. The electrocardiography is a vital tool in the
differential diagnosis of chest pain. Although the electrocardiographic
findings of acute myocardial infarction and acute myocarditis are generally
different, rarely two diseases can mimic each other. We presented a 21-year-old
male patient who had admitted our emergency with acute typical chest pain and
ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST
depression in DI and AVL leads.
References
- 1- Nisbet BC, Breyer M. Acute myopericarditis with focal ECG findings mimicking acute myocardial infarction. J Emerg Med 2010; 39: 153-58
- 2-Thygesen K, Alpert JS, Jaffe AS et al. ESC Committee for Practice Guidelines. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551–67.
- 3-Pitts SR, Niska RW, Xu J, Burt CW, US Dept of Health and Human Services National hospital ambulatory medical care survey: 2006 emergency department summary. Natl Health Stat Report 2008; 6: 1-38.
- 4-Kusama Y1, Kodani E, Nakagomi A, Otsuka T, Atarashi H, Kishida H, Mizuno K. Variant angina and coronary artery spasm: The clinical spectrum,pathophysiology, and management. J Nippon Med Sch 2011; 78: 4-12
- 5-Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev 2007; 15: 24–30.
- 6-Lange RA, Hillis LD. Clinical practice. Acute pericarditis [published correction appears in N Engl J Med 2005; 352: 1163]. N Engl J Med 2004; 351: 2195–202.
- 7-Marinella MA. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 1998; 57: 699–704.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 21, 2019 |
| Published in Issue | Year 2019 Volume: 10 Issue: 1 |
Cite
e-ISSN: 2149-8296
The content of this site is intended for health care professionals. All the published articles are distributed under the terms of
Creative Commons Attribution Licence,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.