An unusual case of diffuse ST elevation mimicking acute myocardial infarction: A challenge of emergent percutaneous coronary intervention?

Ching-Tsai Hsu, Ching-Han Liu, Chin-Sheng Lin, Wei-Shiang Lin, P. Hsiao, Jun-Ting Liou
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Abstract

Coronary artery disease combined sepsis associated myocardial ischemia resulting in diffuse ST elevation on electrocardiogram has rarely been reported. We reported a rare case of diffuse ST elevation precipitated by septic shock and preexisting severe atherosclerosis heart disease. In clinical scenario, it is imperative for physicians to be aware of non-ischemic ST elevation etiologies and avoid inappropriate activation of the percutaneous coronary intervention (PCI) protocol, while not missing ST elevation myocardial infarction.
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一例罕见的弥漫性ST段抬高模拟急性心肌梗死:紧急经皮冠状动脉介入治疗的挑战?
冠状动脉疾病合并脓毒症相关心肌缺血导致心电图弥漫性ST段抬高的报道很少。我们报告一例罕见的感染性休克和先前存在的严重动脉粥样硬化心脏病引起的弥漫性ST段抬高。在临床情况下,医生必须了解非缺血性ST段抬高的病因,避免不当激活经皮冠状动脉介入治疗(PCI)方案,同时不能忽视ST段抬高心肌梗死。
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