IMR Press / RCM / Volume 17 / Issue 3-4 / DOI: 10.3909/ricm0828
Open Access Review
ST-segment Elevation: Myocardial Infarction or Simulacrum?
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1 Division of Cardiology, University of Florida College of Medicine, Jacksonville, FL
2 Aurora Cardiovascular Services, St. Luke’s Medical Center, University of Wisconsin School of Medicine and Public Health, Milwaukee, WI
3 Department of Cardiology, Mayo Clinic, Rochester, MN
Rev. Cardiovasc. Med. 2016 , 17(3-4), 85–99; https://doi.org/10.3909/ricm0828
Published: 30 September 2016
Abstract
A rapid diagnosis of ST-segment elevation myocardial infarction (STEMI) is mandatory for optimal treatment of an acute coronary syndrome. However, a small number of patients with suspected STEMI are afflicted with other medical conditions. These medical conditions are rare, but important clinical entities that should be considered when evaluating a STEMI alert. These conditions include coronary vasospasm, Takotsubo cardiomyopathy, coronary arteritis/aneurysm, myopericarditis, Brugada syndrome, left bundle branch block, early repolarization, aortic dissection, infective endocarditis with root abscess, subarachnoid hemorrhage, ventricular aneurysm after transmural myocardial infarction, and hemodynamically significant pulmonary embolism with right ventricular strain. Herein, we present several STEMI mimickers.
Keywords
ST-segment elevation myocardial infarction
Coronary angiography
Percutaneous coronary intervention
Electrocardiography
Echocardiography
Myocarditis
Coronary vasospasm
Aortic root abscess
Takotsubo cardiomyopathy
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