Not Every ST-Segment Elevation Is a STEMI

Andrea C Merlo; Fabio Pescetelli; Pietro Ameri; Italo Porto

doi:10.1016/j.jaccas.2020.11.019

Not Every ST-Segment Elevation Is a STEMI

JACC Case Rep. 2021 Feb 17;3(2):283-285. doi: 10.1016/j.jaccas.2020.11.019. eCollection 2021 Feb.

Authors

Andrea C Merlo¹, Fabio Pescetelli¹, Pietro Ameri^{1

2}, Italo Porto^{1

2}

Affiliations

¹ Department of Internal Medicine, University of Genova, Genova, Italy.
² IRCCS Ospedale Policlinico San Martino-IRCCS Italian Cardiovascular Network, Genova, Italy.

Abstract

Electrocardiogram is fundamental to diagnose ST-segment elevation myocardial infarction in patients with chest pain, other consistent symptoms, and/or echocardiographic abnormalities. Nevertheless, physicians should remember that other conditions can cause an ST-segment elevation myocardial infarction-like electrocardiogram. We exemplify this warning describing the case of an electrocardiogram mimicking ST-segment elevation myocardial infarction caused by severe dysionia. (Level of Difficulty: Beginner.).

Keywords: ECG, electrocardiogram; RWMA, regional wall motion abnormalities; STEMI, ST-segment elevation myocardial infarction; electrocardiogram; electrolyte imbalance; myocardial infarction.