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"Tombstone" anterior ST-segment elevations secondary to acute pericarditis: the role of two-dimensional

A Jain1

  • 1Division of Cardiology, University of Texas Health Science Center, San Antonio 78284-7872, USA.

Clinical Cardiology
|April 1, 1997
PubMed

Insights

Prompt thrombolytic therapy is crucial for acute myocardial infarction. However, this case highlights considering alternative causes of ST-segment elevation, like pericarditis, using bedside echocardiography to guide treatment.

Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Acute myocardial infarction requires timely thrombolytic therapy.
  • ST-segment elevation on ECG can indicate ischemia but also other conditions.
  • Differentiating causes of ST-segment elevation is critical for appropriate treatment.

Observation:

  • A patient presented with anterior ST-segment elevation mimicking acute ischemia.
  • Absence of ischemic symptoms prompted further investigation with echocardiography.

Findings:

  • Echocardiography revealed mild generalized hypokinesis, not indicative of acute ischemia.
  • Subsequent ECGs showed changes consistent with pericarditis, not myocardial infarction.

Implications:

  • Bedside echocardiography can aid in differentiating ST-segment elevation causes.
  • Accurate diagnosis improves patient management and avoids unnecessary thrombolytic therapy.

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