Barking Up the Wrong Tree: Regional Pericarditis Mimicking STEMI

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Presentation transcript:

Barking Up the Wrong Tree: Regional Pericarditis Mimicking STEMI Stephen Rechenmacher, MD, Daniel Jurewitz, MD, Jeffrey Southard, MD, Ezra Amsterdam, MD The American Journal of Medicine Volume 126, Issue 8, Pages 679-681 (August 2013) DOI: 10.1016/j.amjmed.2013.04.001 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 The patient's initial electrocardiogram showed ST-segment elevation in inferolateral leads and diffuse PR-segment depression. The American Journal of Medicine 2013 126, 679-681DOI: (10.1016/j.amjmed.2013.04.001) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 2 A coronary angiogram demonstrated no flow-limiting lesion in the left circumflex coronary artery [(A) = right anterior oblique view] or the right coronary artery [(B) = left anterior oblique cranial view]. The American Journal of Medicine 2013 126, 679-681DOI: (10.1016/j.amjmed.2013.04.001) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 3 Computed tomography of the chest displayed left-sided hemopneumothorax. Note the hemothorax directly adjacent to the left ventricle (arrow). The American Journal of Medicine 2013 126, 679-681DOI: (10.1016/j.amjmed.2013.04.001) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 4 The isoelectric baseline defined by the TP-segment emphasized PR-segment depression and ST-segment elevation. (magnified from Figure 1) The American Journal of Medicine 2013 126, 679-681DOI: (10.1016/j.amjmed.2013.04.001) Copyright © 2013 Elsevier Inc. Terms and Conditions