Turkish Journal of Emergency Medicine (Dec 2017)

Typical pericarditis ECG findings after falling from height. The PR segment depression or ST segment elevation?

  • Murat Sucu, MD,
  • Gokhan Altunbas, MD,
  • Fatma Yilmaz Coskun, MD

Journal volume & issue
Vol. 17, no. 4
pp. 148 – 150

Abstract

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Acute pericarditis (AP) following blunt thoracic trauma is rare and difficult to diagnosis. A 43-year-old man with offered to the emergency department (ED) after falling from height before a week ago. The ECG performed in the ED was abnormal, ECG revealed PR segment depression in leads DII, DIII, aVF, and V3-6 and a preliminary diagnosis of acute inferolateral STEMI was presumed. Patients have evidence of systemic inflammation, including leukocytosis, elevated erythrocyte sedimentation rate. We are reporting a case of post-traumatic acute pericarditis presenting with PR-segment depression and normal cardiac enzymes mimicking acute STEMI. Keywords: ECG, Pericarditis, Trauma