医学
心包炎
急性心包炎
心脏病学
内科学
ST段
心包积液
心肌梗塞
ST高程
心电图
QRS波群
作者
Xiaopeng Bai,Yufeng Wang,Shuai Shi,Lixiu Sun,Jia Zhao,Bingchen Liu
摘要
Electrocardiogram is a powerful tool for differentiating acute ST-segment elevation myocardial infarction (STEMI) and pericarditis. However, an unusual ECG presentation of the simultaneous occurrence of the two conditions has not been reported previously. In this article, we report a case of ECG evolution of acute anterior STEMI following pericarditis with pericardial effusion (PE) and find that QRS complex widening in ECG lead with maximal ST-segment elevation is also applicable for identifying STEMI even in patients with prior pericarditis. Undoubtedly, our case can help prevent emergency physicians from making incorrect diagnoses and administering inappropriate treatments.
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