Electrocardiogram evolution of acute anterior ST-segment elevation myocardial infarction following pericarditis

作者：Bai, Xiaopeng; Wang, Yufeng; Shi, Shuai; Sun, Lixiu; Zhao, Jia; Liu, Bingchen^*

来源：ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2022, 27(2): e12906.

DOI：10.1111/anec.12906

• ECG evolution
• pericarditis
• ST-segment elevation myocardial infarction

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.

• 单位
  哈尔滨医科大学