PR depression with multilead ST elevation and ST depression in aVR by left circumflex artery occlusion: How to differentiate from acute pericarditis.
Zhong-Qun ZhanKjell NikusYochai BirnbaumPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2020)
PR-segment depression with multilead ST-segment elevation and ST-segment depression in lead aVR are classic ECG manifestation of acute pericarditis. We present a patient, where the etiology of these ECG features was acute ST-elevation myocardial infarction due to left circumflex artery occlusion. To avoid misdiagnosis, unnecessary examinations, and inappropriate therapeutic decisions, the possibility of ST-segment elevation myocardial infarction should be kept in mind even when ECG changes typical for pericarditis are encountered in chest pain patients. Findings of QRS widening and QT interval shortening in leads with ST-segment elevation could help to differentiate acute ST-segment elevation myocardial infarction from acute pericarditis.
Keyphrases
- st segment elevation myocardial infarction
- liver failure
- percutaneous coronary intervention
- respiratory failure
- st elevation myocardial infarction
- drug induced
- depressive symptoms
- aortic dissection
- hepatitis b virus
- sleep quality
- heart rate variability
- heart rate
- acute coronary syndrome
- coronary artery disease
- ejection fraction
- newly diagnosed
- blood pressure
- intensive care unit
- heart failure
- prognostic factors
- atrial fibrillation
- chronic kidney disease
- left ventricular