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Literature DB >> 16439724

Do we intervene inappropriately for ST elevation?

Abstract

ST elevation on a 12 lead ECG is one of the cardinal features of acute myocardial infarction (AMI), yet it also occurs with other clinical conditions such as spontaneous pneumothorax. Three cases are presented, all of whom had chest pain and ST elevation. All had pneumothoraces yet only one had an AMI. Thrombolysis was administered to one patient. With the current pressure on "door-to-needle" times, emergency physicians should take care to differentiate between these entities.

Entities: Disease Species

Mesh：

Year: 2006 PMID： 16439724 PMCID： PMC2564066 DOI： 10.1136/emj.2004.020537

Source DB: PubMed Journal: Emerg Med J ISSN： 1472-0205 Impact factor: 2.740

7 in total

1. New ECG changes associated with a tension pneumothorax: a case report.

Authors: B Strizik; R Forman
Journal: Chest Date: 1999-06 Impact factor: 9.410

Review 2. [ST elevation and tension pneumothorax].

Authors: J Monterrubio Villar; D Fernández Bergés; R J Alzugaray Fraga; M D Veiga; A Córdoba López; G Corcho Díaz
Journal: Rev Esp Cardiol Date: 2000-03 Impact factor: 4.753

3. A case of spontaneous left-sided pneumothorax with ECG changes resembling acute myocardial infarction.

Authors: D Raev
Journal: Int J Cardiol Date: 1996-10-11 Impact factor: 4.164

4. Acute and transient ST segment elevation during bacterial shock in seven patients without apparent heart disease.

Authors: J B Terradellas; J F Bellot; A B Sarís; C L Gil; A T Torrallardona; J R Garriga
Journal: Chest Date: 1982-04 Impact factor: 9.410

5. Interpretation of the emergency electrocardiogram by junior hospital doctors.

Authors: N D Gillespie; C T Brett; W G Morrison; S D Pringle
Journal: J Accid Emerg Med Date: 1996-11

6. Transient ST elevation associated with tension pneumothorax.

Authors: R D Slay; L E Slay; J G Luehrs
Journal: JACEP Date: 1979-01

7. New ECG criteria for high-risk Brugada syndrome.

Authors: Hirotsugu Atarashi; Satoshi Ogawa
Journal: Circ J Date: 2003-01 Impact factor: 2.993

7 in total

5 in total

Do we intervene inappropriately for ST elevation?

1. New ECG changes associated with a tension pneumothorax: a case report.

Review 2. [ST elevation and tension pneumothorax].

3. A case of spontaneous left-sided pneumothorax with ECG changes resembling acute myocardial infarction.

4. Acute and transient ST segment elevation during bacterial shock in seven patients without apparent heart disease.

5. Interpretation of the emergency electrocardiogram by junior hospital doctors.

6. Transient ST elevation associated with tension pneumothorax.

7. New ECG criteria for high-risk Brugada syndrome.

1. Myocardial infarction induced by spontaneous pneumothorax.

2. Dual life-threatening pathologies presenting simultaneously.

3. Iatrogenic Right-Sided Pneumothorax Presenting as ST-Segment Elevation: A Rare Case Report and Review of Literature.

4. Nonischemic ST segment elevation in hypertrophic cardiomyopathy due to chest wall deformity from kyphoscoliosis.

5. Changes in electrocardiographic findings after closed thoracostomy in patients with spontaneous pneumothorax.