Immediately after CABG surgery, diffuse ST-segment elevation on ECG: Is it a fact or a myth?

Abstract

Electrocardiography (ECG) is an easy and feasible tool for detecting and evaluating cardiac ischemia and other diseases, such as arrhythmia. 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 critical condition. Diffuse ST-segment elevation after CABG is a rare condition that raises several differential diagnoses, such as perioperative myocardial infarction, pericarditis, acute graft thrombosis following surgery, and inadequate myocardial protection. The management of 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 management and differential diagnosis.

Keywords

• CABG
• Precarditis
• MI
• ST-elevation
• PPS

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