Not Every ST-Segment Elevation Is a STEMI

Andrea C. Merlo, MD; Fabio Pescetelli, MD; Pietro Ameri, MD, PhD; Italo Porto, MD, PhD

JACC: Case Reports (Feb 2021)

Not Every ST-Segment Elevation Is a STEMI

Andrea C. Merlo, MD,
Fabio Pescetelli, MD,
Pietro Ameri, MD, PhD,
Italo Porto, MD, PhD

Affiliations

Andrea C. Merlo, MD: Department of Internal Medicine, University of Genova, Genova, Italy
Fabio Pescetelli, MD: Department of Internal Medicine, University of Genova, Genova, Italy
Pietro Ameri, MD, PhD: Department of Internal Medicine, University of Genova, Genova, Italy; IRCCS Ospedale Policlinico San Martino–IRCCS Italian Cardiovascular Network, Genova, Italy
Italo Porto, MD, PhD: Department of Internal Medicine, University of Genova, Genova, Italy; IRCCS Ospedale Policlinico San Martino–IRCCS Italian Cardiovascular Network, Genova, Italy; Address for correspondence: Dr. Italo Porto, Cardiovascular Disease Unit, IRCCS Ospedale Policlinico San Martino–IRCCS Italian Cardiovascular Network & Department of Internal Medicine, University of Genova, Genova, Italy.

Journal volume & issue: Vol. 3, no. 2
pp. 283 – 285

Abstract

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Electrocardiogram is fundamental to diagnose ST-segment elevation myocardial infarction in patients with chest pain, other consistent symptoms, and/or echocardiographic abnormalities. Nevertheless, physicians should remember that other conditions can cause an ST-segment elevation myocardial infarction–like electrocardiogram. We exemplify this warning describing the case of an electrocardiogram mimicking ST-segment elevation myocardial infarction caused by severe dysionia. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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