Gastrointestinal Distention Masquerading as ST-Segment Elevation Myocardial Infarction

James Zhang, MD; Hussain Basrawala, MD; Sumit Patel, MD; Hartaj Girn, MD; Vaughn Eyvazian, MD; Lan Wang, MD; Enrique Ostrzega, MD

JACC: Case Reports (Apr 2020)

Gastrointestinal Distention Masquerading as ST-Segment Elevation Myocardial Infarction

James Zhang, MD,
Hussain Basrawala, MD,
Sumit Patel, MD,
Hartaj Girn, MD,
Vaughn Eyvazian, MD,
Lan Wang, MD,
Enrique Ostrzega, MD

Affiliations

James Zhang, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Hussain Basrawala, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Sumit Patel, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Hartaj Girn, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Vaughn Eyvazian, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Lan Wang, MD: Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California
Enrique Ostrzega, MD: Address for correspondence: Dr. Enrique Ostrzega, Division of Cardiovascular Medicine, University of Southern California, 1510 San Pablo Street, Suite 322, Los Angeles, California 90033.; Division of Cardiovascular Medicine, University of Southern California, Los Angeles, California

Journal volume & issue: Vol. 2, no. 4
pp. 604 – 610

Abstract

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ST-segment elevation myocardial infarction (STEMI) is the most serious manifestation of acute coronary syndrome. A variety of noncardiac conditions can mimic STEMI on electrocardiography (ECG). We describe a case of gastrointestinal distention and ileus masquerading as STEMI on ECG and posits a mechanism for this effect. (Level of Difficulty: Intermediate.)

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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