Case Report
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Resiprokal ST depresyonu ile birlikte inferiyor ST elevasyonu olan genç hasta: Olgu sunumu

Year 2019, Volume: 10 Issue: 1, 110 - 112, 21.03.2019
https://doi.org/10.18663/tjcl.509118

Abstract

Acil servise göğüs ağrısı ve ST
segment elevasyonu ile başvuran hastalarda akut miyokart infarktüsü ilk akla
gelen tanıdır. Acil ayırıcı tanı ve katater laboratuvarına koroner anjiyografi
için hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografi göğüs
ağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü ve
akut miyokardit elektrokardiyografik bulguları genel olarak farklı olsa da, nadiren
bu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipik
göğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ile
birlikte DI ve AVL derivasyonlarında resiprokal ST depresyonu görülen 21
yaşında erkek hasta vakası sunduk. 

References

  • 1- Nisbet BC, Breyer M. Acute myopericarditis with focal ECG findings mimicking acute myocardial infarction. J Emerg Med 2010; 39: 153-58
  • 2-Thygesen K, Alpert JS, Jaffe AS et al. ESC Committee for Practice Guidelines. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551–67.
  • 3-Pitts SR, Niska RW, Xu J, Burt CW, US Dept of Health and Human Services National hospital ambulatory medical care survey: 2006 emergency department summary. Natl Health Stat Report 2008; 6: 1-38.
  • 4-Kusama Y1, Kodani E, Nakagomi A, Otsuka T, Atarashi H, Kishida H, Mizuno K. Variant angina and coronary artery spasm: The clinical spectrum,pathophysiology, and management. J Nippon Med Sch 2011; 78: 4-12
  • 5-Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev 2007; 15: 24–30.
  • 6-Lange RA, Hillis LD. Clinical practice. Acute pericarditis [published correction appears in N Engl J Med 2005; 352: 1163]. N Engl J Med 2004; 351: 2195–202.
  • 7-Marinella MA. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 1998; 57: 699–704.

A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report

Year 2019, Volume: 10 Issue: 1, 110 - 112, 21.03.2019
https://doi.org/10.18663/tjcl.509118

Abstract

In patients admitting to the
emergency department with chest pain and ST-segment elevation, the first
diagnosis to be considered is acute myocardial infarction. Urgent differential
diagnosis and immediately referral to catheter laboratory to perform coronary
angiography is life-saving. The electrocardiography is a vital tool in the
differential diagnosis of chest pain. Although the electrocardiographic
findings of acute myocardial infarction and acute myocarditis are generally
different, rarely two diseases can mimic each other. We presented a 21-year-old
male patient who had admitted our emergency with acute typical chest pain and
ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST
depression in DI and AVL leads.

References

  • 1- Nisbet BC, Breyer M. Acute myopericarditis with focal ECG findings mimicking acute myocardial infarction. J Emerg Med 2010; 39: 153-58
  • 2-Thygesen K, Alpert JS, Jaffe AS et al. ESC Committee for Practice Guidelines. Third universal definition of myocardial infarction. Eur Heart J 2012; 33: 2551–67.
  • 3-Pitts SR, Niska RW, Xu J, Burt CW, US Dept of Health and Human Services National hospital ambulatory medical care survey: 2006 emergency department summary. Natl Health Stat Report 2008; 6: 1-38.
  • 4-Kusama Y1, Kodani E, Nakagomi A, Otsuka T, Atarashi H, Kishida H, Mizuno K. Variant angina and coronary artery spasm: The clinical spectrum,pathophysiology, and management. J Nippon Med Sch 2011; 78: 4-12
  • 5-Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev 2007; 15: 24–30.
  • 6-Lange RA, Hillis LD. Clinical practice. Acute pericarditis [published correction appears in N Engl J Med 2005; 352: 1163]. N Engl J Med 2004; 351: 2195–202.
  • 7-Marinella MA. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 1998; 57: 699–704.
There are 7 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Nezaket Merve Yaman This is me

Mustafa Bilal Özbay

Hasan Can Könte This is me

Ertan Ekici This is me

Elif Hande Özcan Çetin

Publication Date March 21, 2019
Published in Issue Year 2019 Volume: 10 Issue: 1

Cite

APA Yaman, N. M., Özbay, M. B., Könte, H. C., Ekici, E., et al. (2019). A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report. Turkish Journal of Clinics and Laboratory, 10(1), 110-112. https://doi.org/10.18663/tjcl.509118
AMA Yaman NM, Özbay MB, Könte HC, Ekici E, Çetin EHÖ. A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report. TJCL. March 2019;10(1):110-112. doi:10.18663/tjcl.509118
Chicago Yaman, Nezaket Merve, Mustafa Bilal Özbay, Hasan Can Könte, Ertan Ekici, and Elif Hande Özcan Çetin. “A Young Patient With Inferior ST Elevation Accompanying Resiprocal ST Depresion: A Case Report”. Turkish Journal of Clinics and Laboratory 10, no. 1 (March 2019): 110-12. https://doi.org/10.18663/tjcl.509118.
EndNote Yaman NM, Özbay MB, Könte HC, Ekici E, Çetin EHÖ (March 1, 2019) A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report. Turkish Journal of Clinics and Laboratory 10 1 110–112.
IEEE N. M. Yaman, M. B. Özbay, H. C. Könte, E. Ekici, and E. H. Ö. Çetin, “A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report”, TJCL, vol. 10, no. 1, pp. 110–112, 2019, doi: 10.18663/tjcl.509118.
ISNAD Yaman, Nezaket Merve et al. “A Young Patient With Inferior ST Elevation Accompanying Resiprocal ST Depresion: A Case Report”. Turkish Journal of Clinics and Laboratory 10/1 (March 2019), 110-112. https://doi.org/10.18663/tjcl.509118.
JAMA Yaman NM, Özbay MB, Könte HC, Ekici E, Çetin EHÖ. A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report. TJCL. 2019;10:110–112.
MLA Yaman, Nezaket Merve et al. “A Young Patient With Inferior ST Elevation Accompanying Resiprocal ST Depresion: A Case Report”. Turkish Journal of Clinics and Laboratory, vol. 10, no. 1, 2019, pp. 110-2, doi:10.18663/tjcl.509118.
Vancouver Yaman NM, Özbay MB, Könte HC, Ekici E, Çetin EHÖ. A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report. TJCL. 2019;10(1):110-2.


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