• Rev Cardiovasc Med · Jan 2016

    ST-segment Elevation: Myocardial Infarction or Simulacrum?

    • Nachiket Patel, Elizabeth Ngo, Timothy E Paterick, Khawaja Afzal Ammar, Krishnaswamy Chandrasekaran, and A Jamil Tajik.
    • Division of Cardiology, University of Florida College of Medicine, Jacksonville, FL.
    • Rev Cardiovasc Med. 2016 Jan 1; 17 (3-4): 85-99.

    AbstractA rapid diagnosis of ST-segment elevation myocardial infarction (STEMI) is mandatory for optimal treatment of an acute coronary syndrome. However, a small number of patients with suspected STEMI are afflicted with other medical conditions. These medical conditions are rare, but important clinical entities that should be considered when evaluating a STEMI alert. These conditions include coronary vasospasm, Takotsubo cardiomyopathy, coronary arteritis/aneurysm, myopericarditis, Brugada syndrome, left bundle branch block, early repolarization, aortic dissection, infective endocarditis with root abscess, subarachnoid hemorrhage, ventricular aneurysm after transmural myocardial infarction, and hemodynamically significant pulmonary embolism with right ventricular strain. Herein, we present several STEMI mimickers.

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