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

Year 2025, Volume: 38 Issue: 2, 186 - 189, 30.05.2025

Osman Türe , Elif Demirbaş , Fatih Ozturk Koray Ak

https://doi.org/10.5472/marumj.1709084

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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