Spontaneous pneumomediastinum mimicking acute pericarditis.
Haseeb ChaudharyZohaib YousafUsama NasirTayyab WaheedKhezar SyedPublished in: Clinical case reports (2021)
ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST-elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST-segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum.
Keyphrases
- liver failure
- st elevation myocardial infarction
- respiratory failure
- aortic dissection
- coronary artery
- drug induced
- percutaneous coronary intervention
- systematic review
- coronary artery disease
- heart rate
- heart failure
- heart rate variability
- hepatitis b virus
- subarachnoid hemorrhage
- left ventricular
- aortic valve
- blood pressure
- intensive care unit
- atrial fibrillation
- acute respiratory distress syndrome