Gastric perforation mimicking ST-segment elevation myocardial infarction

Ryan Enast Intan1,2, Fani Suslina Hasibuan2, Parama Gandi3

  • 1Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.

BMJ Case Reports
|March 10, 2021
PubMed

Insights

ST-elevation myocardial infarction (STEMI) can present atypically in elderly patients. This case highlights how gastric perforation mimicking STEMI on ECG can lead to misdiagnosis and delayed treatment.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Gastroenterology

Background:

  • ST-elevation myocardial infarction (STEMI) is a critical cardiac emergency with significant mortality.
  • Elderly patients often exhibit atypical STEMI symptoms, complicating diagnosis.
  • Electrocardiogram (ECG) ST-segment elevation is crucial for initial STEMI diagnosis but can be mimicked by other conditions.

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