ECG Changes Mimicking Myocardial Infarction

• Published in: The American journal of medicine Vol. 123; no. 11; pp. 996 - 998
• Main Authors: Tsioufis, Costas, MD, Lazaros, George, MD, Vassilopoulos, Dimitrios, MD, Vasileiou, Panagiotis, MD, Stefanadis, Christodoulos, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.11.2010; Elsevier; Elsevier Sequoia S.A
• Subjects: Biological and medical sciences; Cardiology. Vascular system; Coronary heart disease; Diagnosis, Differential; Echocardiography; Electrocardiography; General aspects; Heart; Heart attacks; Humans; Internal Medicine; Male; Medical diagnosis; Medical sciences; Myocardial Infarction - diagnosis; Myocardial Infarction - physiopathology; Myocarditis. Cardiomyopathies; Pericarditis - diagnosis; Pericarditis - physiopathology; Young Adult; Human; Myocardial infarction; Medicine; Electrodiagnosis; Electrocardiography; Cardiovascular disease; Change; Coronary heart disease; Myocardial disease; Differential diagnostic
• ISSN: 0002-9343; 1555-7162
• DOI: 10.1016/j.amjmed.2010.06.012

Tsioufis et al examine a medical condition of a 24-year-old man who was admitted to the hospital complaining of sharp chest pain that had started 4 hours earlier while he was at rest. The pain radiated to the trapezius ridge, was exacerbated in the supine position, and was relieved by leaning forward. The electrocardiographic findings strongly suggested a diagnosis of acute myocardial infarction, but this condition was excluded by the diagnostic work-up.