ST-segment Elevation: Myocardial Infarction or Simulacrum?

被引:1
作者
Patel, Nachiket [1 ]
Ngo, Elizabeth [1 ]
Paterick, Timothy E. [1 ]
Ammar, Khawaja Afzal [2 ]
Chandrasekaran, Krishnaswamy [3 ]
Tajik, A. Jamil [2 ]
机构
[1] Univ Florida, Coll Med, Div Cardiol, Jacksonville, FL 32209 USA
[2] Univ Wisconsin, Sch Med & Publ Hlth, Aurora Cardiovasc Serv, St Lukes Med Ctr, Milwaukee, WI 53201 USA
[3] Mayo Clin, Dept Cardiol, Rochester, MN USA
关键词
ST-segment elevation myocardial infarction; Coronary angiography; Percutaneous coronary intervention; Electrocardiography; Echocardiography; Myocarditis; Coronary vasospasm; Aortic root abscess; Takotsubo cardiomyopathy; CORONARY-ARTERY SPASM; TAKOTSUBO CARDIOMYOPATHY; PULMONARY-EMBOLISM; ECHOCARDIOGRAPHIC FINDINGS; CLINICAL CHARACTERISTICS; VARIANT ANGINA; RISK-FACTORS; LONG-TERM; ENDOCARDITIS; EXPERIENCE;
D O I
10.3909/ricm0828
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 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.
引用
收藏
页码:85 / 99
页数:15
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