• Internal medicine · Sep 2023

    Case Reports

    Pseudo-hyperacute T Waves in a Giant Hiatal Hernia.

    • Hiroki Ono, Teruyoshi Uetani, Shinji Inaba, Masaya Kawamata, Takahiro Hikita, Moeko Kawamata, Akira Oshita, and Hideo Kawakami.
    • Department of Cardiology, Ehime Prefectural Imabari Hospital, Japan.
    • Intern. Med. 2023 Sep 15; 62 (18): 268126842681-2684.

    AbstractAn 89-year-old woman with a giant hiatal hernia complained of persistent chest pain. An electrocardiogram (ECG) showed hyperacute T waves, suggesting the early phase of ST-elevation myocardial infarction. After endoscopic drainage for hiatal hernia, the chest pain disappeared, and the ECG abnormalities resolved. The present case illustrates that compression of the heart by a giant hiatal hernia can induce T wave elevation mimicking acute coronary syndrome.

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