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Life-Threatening ST-Segment Elevation Without Coronary Artery Disease

Life-Threatening ST-Segment Elevation Without Coronary Artery Disease A 55-year-old Asian man with no notable medical history presented with syncope and several episodes of atypical chest pain 2 weeks earlier. An electrocardiogram (ECG) was obtained (Figure 1), and based on an initial presumed clinical diagnosis of ST-segment elevation myocardial infarction, the patient was referred emergently for cardiac catheterization. Figure 1. View LargeDownload Electrocardiogram from the patient’s initial presentation in the emergency department. Question:What is the most likely diagnosis? Answer http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Life-Threatening ST-Segment Elevation Without Coronary Artery Disease

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Life-Threatening ST-Segment Elevation Without Coronary Artery Disease

Abstract

A 55-year-old Asian man with no notable medical history presented with syncope and several episodes of atypical chest pain 2 weeks earlier. An electrocardiogram (ECG) was obtained (Figure 1), and based on an initial presumed clinical diagnosis of ST-segment elevation myocardial infarction, the patient was referred emergently for cardiac catheterization. Figure 1. View LargeDownload Electrocardiogram from the patient’s initial presentation in the emergency department. Question:What is...
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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinternmed.2011.184
Publisher site
See Article on Publisher Site

Abstract

A 55-year-old Asian man with no notable medical history presented with syncope and several episodes of atypical chest pain 2 weeks earlier. An electrocardiogram (ECG) was obtained (Figure 1), and based on an initial presumed clinical diagnosis of ST-segment elevation myocardial infarction, the patient was referred emergently for cardiac catheterization. Figure 1. View LargeDownload Electrocardiogram from the patient’s initial presentation in the emergency department. Question:What is the most likely diagnosis? Answer

Journal

Archives of Internal Medicine – American Medical Association

Published: May 9, 2011

Keywords: coronary arteriosclerosis,st segment elevation

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