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Inferior ST-Segment Elevation Pattern as a Result of a Small Bowel Obstruction: A Case Report
Andrew Ryu1, Andrew J Jacobs2, Andrew Mastanduono1
1Department of Emergency Medicine, South Shore University Hospital, Bay Shore, NY, USA.
Archives of Academic Emergency Medicine
|December 16, 2025
Summary
ST segment elevations on ECG can mimic heart attacks but may signal intraabdominal issues like bowel obstruction. Prompt diagnosis and intervention for the underlying cause resolved ECG changes in a patient with a ventral hernia.
Area of Science:
- Cardiology
- Gastroenterology
- Emergency Medicine
Background:
- ST segment elevation on electrocardiograms (ECG) typically indicates acute myocardial infarction (heart attack).
- However, non-cardiac conditions, such as intraabdominal pathology, can also cause ST segment elevation.
- Recognizing these mimics is crucial for appropriate patient management.
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