TY  - JOUR
T1  - A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report
TT  - Resiprokal ST depresyonu ile birlikte inferiyor ST elevasyonu olan genç hasta: Olgu sunumu
AU  - Çetin, Elif Hande Özcan
AU  - Yaman, Nezaket Merve
AU  - Özbay, Mustafa Bilal
AU  - Könte, Hasan Can
AU  - Ekici, Ertan
PY  - 2019
DA  - March
DO  - 10.18663/tjcl.509118
JF  - Turkish Journal of Clinics and Laboratory
JO  - TJCL
PB  - DNT Ortadoğu Yayıncılık A.Ş.
WT  - DergiPark
SN  - 2149-8296
SP  - 110
EP  - 112
VL  - 10
IS  - 1
LA  - en
AB  - In patients admitting to theemergency department with chest pain and ST-segment elevation, the firstdiagnosis to be considered is acute myocardial infarction. Urgent differentialdiagnosis and immediately referral to catheter laboratory to perform coronaryangiography is life-saving. The electrocardiography is a vital tool in thedifferential diagnosis of chest pain. Although the electrocardiographicfindings of acute myocardial infarction and acute myocarditis are generallydifferent, rarely two diseases can mimic each other. We presented a 21-year-oldmale patient who had admitted our emergency with acute typical chest pain andST-segment elevation in D2, D3, AVF leads accompanying with reciprocal STdepression in DI and AVL leads.
KW  - ST elevation myocardial infarction; Myocarditis; Electrocardiography
N2  - Acil servise göğüs ağrısı ve STsegment elevasyonu ile başvuran hastalarda akut miyokart infarktüsü ilk aklagelen tanıdır. Acil ayırıcı tanı ve katater laboratuvarına koroner anjiyografiiçin hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografi göğüsağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü veakut miyokardit elektrokardiyografik bulguları genel olarak farklı olsa da, nadirenbu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipikgöğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ilebirlikte DI ve AVL derivasyonlarında resiprokal ST depresyonu görülen 21yaşında erkek hasta vakası sunduk.
CR  - 1- Nisbet BC, Breyer M. Acute myopericarditis with focal ECG findings mimicking acute myocardial infarction. J Emerg Med 2010; 39: 153-58
CR  - 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.
CR  - 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.
CR  - 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
CR  - 5-Ariyarajah V, Spodick DH. Acute pericarditis: diagnostic cues and common electrocardiographic manifestations. Cardiol Rev 2007; 15: 24–30.
CR  - 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.
CR  - 7-Marinella MA. Electrocardiographic manifestations and differential diagnosis of acute pericarditis. Am Fam Physician 1998; 57: 699–704.
UR  - https://doi.org/10.18663/tjcl.509118
L1  - https://dergipark.org.tr/tr/download/article-file/676473
ER  -