Cor Vasa 2023, 65(5):773-776 | DOI: 10.33678/cor.2023.014
Parapneumonic ST segment elevation
- Cardiology Department, Tondela-Viseu Hospital Center, Viseu, Portugal
The presence of ST-segment elevation on the 12-lead electrocardiogram in a patient with suggestive symp- toms of myocardial infarction should trigger an early diagnosis of ST-segment elevation myocardial infarction and urgent intervention to restore coronary perfusion, usually by percutaneous coronary intervention. However, several diseases and conditions can mimic an acute myocardial infarction or the ST-segment elevation pattern on the electrocardiogram. We report a clinical case of a patient hospitalized with the first diagnosis of pneumonia, who developed a de novo anteroseptal ST-segment elevation on electrocardiogram and clinical pain suggestive of transmural myocardial infarction. Emergent coronary angiography excluded coronary heart disease, and further investigation led to an unexpected final diagnosis.
Keywords: Differential diagnosis, Electrocardiogram, Pleural effusion, Pneumococcal pneumonia, ST-segment elevation,
Received: November 13, 2022; Revised: January 29, 2023; Accepted: February 25, 2023; Published: October 15, 2023 Show citation
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