TY - JOUR T1 - Immediately after CABG surgery, diffuse ST-segment elevation on ECG: Is it a fact or a myth? AU - Türe, Osman AU - Demirbaş, Elif AU - Ozturk, Fatih AU - Ak, Koray PY - 2025 DA - May Y2 - 2025 DO - 10.5472/marumj.1709084 JF - Marmara Medical Journal JO - Marmara Med J PB - Marmara University WT - DergiPark SN - 1019-1941 SP - 186 EP - 189 VL - 38 IS - 2 LA - en AB - Electrocardiography (ECG) is an easy and feasible tool for detecting and evaluating cardiac ischemia and other diseases, such asarrhythmia. ECG can diagnose the pathology and the process following treatment.Electrocardiogram changes after coronary artery bypass grafting (CABG) are common; they do not mainly indicate a criticalcondition. Diffuse ST-segment elevation after CABG is a rare condition that raises several differential diagnoses, such as perioperativemyocardial infarction, pericarditis, acute graft thrombosis following surgery, and inadequate myocardial protection. The managementof widespread ST-segment elevation following cardiac surgery can be challenging.In this article, we present a case with widespread ST-segment elevation following CABG surgery and hereby discuss the managementand differential diagnosis. KW - CABG KW - Precarditis KW - MI KW - ST-elevation KW - PPS CR - Loeb HS, Gunnar WP, Thomas DD. Is new ST-segment elevation after coronary artery bypass of clinical importance in the absence of perioperative myocardial infarction? J Electrocardiol 2007;40:276-81. doi: 10.1016/j. jelectrocard.2006.08.098 CR - Kucuk U. Management of early postoperative ST elevation myocardial infarction after coronary artery bypass surgery. EJMO 2019;3:293-5. | doi: 10.14744/ejmo.2017.66375 CR - Coppola G, Carità P, Corrado E, Borrelli A, et al. ST segment elevations: Always a marker of acute myocardial infarction? Indian Heart J 2013;65:412-23. doi: 10.1016/j.ihj.2013.06.013 CR - Liu J, Birnbaum Y. ST-segment elevation following coronary artery bypass surgery. J Electrocardiol 2019;57:128-31. doi: 10.1016/j.jelectrocard.2019.09.010 CR - Young MN, Kolte D, Cadigan ME, et al. Multidisciplinary Heart Team approach for complex coronary artery disease: single center clinical presentation. J Am Heart Assoc 2020;9:e014738. doi: 10.1161/JAHA.119.014738 CR - Birnbaum Y, Drew BJ. The electrocardiogram in ST elevation acute myocardial infarction: correlation with coronary anatomy and prognosis. Postgrad Med J 2003;79:490-504. . doi: 10.1136/pmj.79.935.490 CR - Borgaonkar S, Birnbaum Y. ST-segment elevation soon after coronary artery bypass grafting. Tex Heart Inst J 2019;46:155- 6. doi: 10.14503/THIJ-18-6783. CR - Yıldırım MK, Orhan S, Karabacak P, Ceylan BG, Eroğlu F, Karabacak M. A rare case: Brugada syndrome. Turk J Intensive Care 2017;15:77-80. CR - Snyder MJ, Bepko J, White M. Acute pericarditis: diagnosis and management. Am Fam Physician 2014;89:553-60. CR - Bansal K, Gore M, Nalabothu P. Anterior myocardial infarction. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2022. CR - Koppen E, Madsen E, Greiff G, et al. Perioperative factors associated with changes in troponin T during coronary artery bypass grafting. J Cardiothorac Vasc Anesth 2019;33:3309-19. doi: 10.1053/j.jvca.2019.06.029. CR - Doctor NS, Shah AB, Coplan N, Kronzon I. Acute pericarditis. Prog Cardiovasc Dis 2017;59:349-59. doi: 10.1016/j. pcad.2016.12.001 CR - Liu J, Birnbaum Y. ST – segment elevation following coronary artery bypass surgery,J Electrocardiol 2019;57:128-31. doi: 10.1016/j.jelectrocard.2019.09.010. CR - Devereaux P J, Whitlock R, Lamy A. Perioperative myocardial injury/infarction after cardiac surgery: The diagnostic criteria need to change. J Am Coll Cardiol 2023;82:1313-5. doi: 10.1016/j.jacc.2023.08.001. CR - Gaudino M, Flather M, Capodanno D, et al. European Association of Cardio-Thoracic Surgery (EACTS) expert consensus statement on perioperative myocardial infarction after cardiac surgery, Eur J Cardiothorac Surg 2024;65:ezad415. doi: 10.1093/ejcts/ezad415. CR - Xenogiannis I, Zenati M, Bhatt DL, et al. Saphenous vein graft failure: From pathophysiology to prevention and treatment strategies. Circulation 2021 Aug 31;144:728-745. doi: 10.1161/ CIRCULATIONAHA.120.052163 CR - Giacinto O, Minati A, Lusini M, et al. Treatment and prophylaxis of post-pericardiotomy syndrome in cardiac surgery patients: a systematic review. Cardio Vasc Drug Ther 2023;37:771-9. doi: 10.1007/s10557.021.07261-4. CR - Ranney D N, Williams J B, Mulder H, et al. Comparison of outcomes and frequency of graft failure with use of free versus ın situ ınternal mammary artery bypass conduits (from the PREVENT IV Trial). Am J Cardiol 2019;123:571-5. doi: 10.1016/j.amjcard.2018.11.029 UR - https://doi.org/10.5472/marumj.1709084 L1 - https://dergipark.org.tr/en/download/article-file/4914247 ER -