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. 2021 Feb 17;3(2):283-285.
doi: 10.1016/j.jaccas.2020.11.019. eCollection 2021 Feb.

Not Every ST-Segment Elevation Is a STEMI

Andrea C Merlo  1 , Fabio Pescetelli  1 , Pietro Ameri  1   2 , Italo Porto  1   2
Affiliations

Not Every ST-Segment Elevation Is a STEMI

Andrea C Merlo et al. JACC Case Rep. .

Abstract

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.).

Keywords: ECG, electrocardiogram; RWMA, regional wall motion abnormalities; STEMI, ST-segment elevation myocardial infarction; electrocardiogram; electrolyte imbalance; myocardial infarction.

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Conflict of interest statement

Prof. Porto has received consulting and speaker fees from ABIOMED, Amgen, AstraZeneca, Bayer, Biotronik, Daiichi-Sankyo, Philips, Sanofi, Stentys, and Terumo, outside the present work. All other have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Electrocardiographic Evolution During Electrolyte Repletion (A) Electrocardiogram showing ST-segment elevation in leads I, aVL, and V2, and ST-segment depression in the inferior and precordial leads. (B) Electrocardiogram showing regression of ST-segment elevation after correction of ion imbalances.
See this image and copyright information in PMC

References

    1. Wang K., Asinger R.W., Marriott H.J.L. ST-segment elevation in conditions other than acute myocardial infarction. N Engl J Med. 2003;349:2128–2135. - PubMed
    1. Adeel M.Y., Clarke J.D., Shetty S., Arora A., Buscher M.G. Severe hypocalcemia mimicking acute inferior ST-segment elevation myocardial infarction. Oxf Med Case Reports. 2018;2018:omy103. - PMC - PubMed
    1. Yusuf J., Khan M.U., Cheema Y., Bhattacharya S.K., Weber K.T. Disturbances in calcium metabolism and cardiomyocyte necrosis: the role of calcitropic hormones. Prog Cardiovasc Dis. 2012;55:77–86. - PMC - PubMed

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