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ST Segment Yükselmesine Neden Olan Akut Perikardit: Olgu Sunumu

Year 2017, Volume: 18 Issue: 1, 61 - 64, 01.04.2017

Abstract

Göğüs ağrısı acil servise sık başvuru nedenlerinden biridir ve ölümcül hastalıkların habercisi olması nedeni ile önemli bir semptomdur. Basit bir kas ağrısından miyokard enfarktüsüne ya da daha ölümcül olan aort diseksiyonuna kadar hastalıkların habercisi olabilir. Bu açıdan hastaların değerlendirilmesinde kritik öneme sahip elektrokardiyogram (EKG) bize yol göstericidir. Ancak EKG’ye bakılarak tanı konulup trombolitik tedavi başlamak yanlış tedavi olabilir. Bu yüzden hastaların tanısında detaya inilmeli ve tedavi planı buna göre yapılmalıdır. Bu olgu sunumunda; acil servisimize göğüs ağrısı şikayeti ile başvuran, çekilen EKG’sinde D2, D3 ve aVF derivasyonlarında ST segment elevasyonu ve troponin yüksekliği olan akut perikardit tanısı alan 19 yaşındaki erkek hastayı sunmayı amaçladık

References

  • 1. Aronow WS. Myocardial infarction in the elderly: benefits and risks of thrombolytics. Drug Saf 2002; 25: 753-8.
  • 2. Schnabel RB, Post F, Blankenberg S. Diagnosis of acute coronary syndrome. Dtsch Med Wochenschr 2014; 139(Suppl 1): S9-12.
  • 3. Hooper AJ, Celenza A. A descriptive analysis of patients with an emergency department diagnosis of acute pericarditis. Emerg Med J 2013; 30: 1003-8.
  • 4. Inanç M, Akpek M, Inanç MT, Kaya MG. Acute pericarditis during 5-fluorouracil, docetaxel and cisplatin therapy. Turk Kardiyol Dern Ars 2012; 40: 532-5.
  • 5. Oh JK, Hatle LK, Seward JB, Danielson GK, Schaff HV, Reeder GS, et al. Diagnostic role of Doppler echocardiography in constrictive perikarditis. J Am Coll Cardiol 1994; 23: 154-62.
  • 6. Elmahy H, Abdelbar A, Schmitt M. Striking temporally dynamic ECG changes associated with recurrent chest pain in a case of myopericarditis. BMJ Case Rep 2013.
  • 7. Imazio M, Brucato A, Barbieri A, Ferroni F, Maestroni S, Ligabue G, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation 2013; 128: 42-9.

ST Segment Elevation Caused by Pericarditis: A Case Report

Year 2017, Volume: 18 Issue: 1, 61 - 64, 01.04.2017

Abstract

Chest pain is one of the common reasons for admission to the emergency department and an important symptom that can be a precursor of a fatal condition. A simple muscle pain can be a sign of illnesses until myocardial infarction or even aortic dissection, which is more lethal. In this respect, electrocardiogram (ECG) which is of critical importance in the evaluation of patients is a guide for us. However, starting treatments such as thrombolytic therapy that is solely considered according to ECG may be a wrong decision. Therefore, detailed investigations should be made for establishing a diagnosis and treatment plans should be made accordingly. In this paper, we present a 19-year-old male patient who was admitted to our emergency department with chest pain, having ST segment elevation of D2, D3 and aVF in ECG along with troponin elevation and was diagnosed with acute pericarditis.

References

  • 1. Aronow WS. Myocardial infarction in the elderly: benefits and risks of thrombolytics. Drug Saf 2002; 25: 753-8.
  • 2. Schnabel RB, Post F, Blankenberg S. Diagnosis of acute coronary syndrome. Dtsch Med Wochenschr 2014; 139(Suppl 1): S9-12.
  • 3. Hooper AJ, Celenza A. A descriptive analysis of patients with an emergency department diagnosis of acute pericarditis. Emerg Med J 2013; 30: 1003-8.
  • 4. Inanç M, Akpek M, Inanç MT, Kaya MG. Acute pericarditis during 5-fluorouracil, docetaxel and cisplatin therapy. Turk Kardiyol Dern Ars 2012; 40: 532-5.
  • 5. Oh JK, Hatle LK, Seward JB, Danielson GK, Schaff HV, Reeder GS, et al. Diagnostic role of Doppler echocardiography in constrictive perikarditis. J Am Coll Cardiol 1994; 23: 154-62.
  • 6. Elmahy H, Abdelbar A, Schmitt M. Striking temporally dynamic ECG changes associated with recurrent chest pain in a case of myopericarditis. BMJ Case Rep 2013.
  • 7. Imazio M, Brucato A, Barbieri A, Ferroni F, Maestroni S, Ligabue G, et al. Good prognosis for pericarditis with and without myocardial involvement: results from a multicenter, prospective cohort study. Circulation 2013; 128: 42-9.
There are 7 citations in total.

Details

Other ID JA93JA99UG
Journal Section Case Report
Authors

Seval Demir Aydın This is me

Muhammet Gökhan Turtay This is me

Şükrü Gürbüz This is me

Hasan Pekdemir This is me

Hakan Oğuztürk This is me

Taner Güven This is me

Publication Date April 1, 2017
Published in Issue Year 2017 Volume: 18 Issue: 1

Cite

EndNote Demir Aydın S, Turtay MG, Gürbüz Ş, Pekdemir H, Oğuztürk H, Güven T (April 1, 2017) ST Segment Elevation Caused by Pericarditis: A Case Report. Meandros Medical And Dental Journal 18 1 61–64.