An unusual case of diffuse ST elevation mimicking acute myocardial infarction: A challenge of emergent percutaneous coronary intervention?
Abstract
Coronary artery disease combined sepsis associated myocardial ischemia resulting in diffuse ST elevation on electrocardiogram has rarely been reported. We reported a rare case of diffuse ST elevation precipitated by septic shock and preexisting severe atherosclerosis heart disease. In clinical scenario, it is imperative for physicians to be aware of non-ischemic ST elevation etiologies and avoid inappropriate activation of the percutaneous coronary intervention (PCI) protocol, while not missing ST elevation myocardial infarction.
References
during septic shock. Cardiology 2002; 97:187-96.
2. Salerno D, Vahid B, Marik PE. Osborn wave in hypothermia from
Vibriovunificus sepsis unrelated to exposure. Int J Cardiol 2007;
114: e124- 5.
3. Martinez JD, Babu RV, Sharma G. Case Report: Escherichia coli
Septic Shock Masquerading as ST-Segment Elevation Myocardial
Infarction. Postgrad Med 2009; 121:102-5.
4. Deshpande A, Birnbaum Y. ST-segment elevation: Distinguishing
ST elevation myocardial infarction from ST elevation secondary
to nonischemic etiologies. World J Cardiol 2014; 26;6:1067-79.
5. Santoro F, Ieva R, Ferraretti A, De Gennaro L, Michele L, Di Biase
M, et al. Diffuse ST-elevation following J-wave presentation
as an uncommon electrocardiogram pattern of Tako-Tsubo
cardiomyopathy.
Heart Lung 2013; 42:375-8.
6. Yang Y, Die H, Daoquan P. Diffuse ST-Segment Elevation After
Hydrogen Sulfide Intoxication. J Emerg Med 2018; 54; 2:241-3.
7. Komuro J, Ueda K, Kaneko M, Nitta S, Kasao, M, Yokoyama M.
Various Cardiac Abnormalities Caused by Bacterial Myocarditis.
Int Heart J 2018; 59; 1:229-32.
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