Resiprokal ST depresyonu ile birlikte inferiyor ST elevasyonu olan genç hasta: Olgu sunumu

Year 2019, , 110 - 112, 21.03.2019

Nezaket Merve Yaman Mustafa Bilal Özbay Hasan Can Könte Ertan Ekici Elif Hande Özcan Çetin

https://doi.org/10.18663/tjcl.509118

Abstract

Acil servise göğüs ağrısı ve ST
segment elevasyonu ile başvuran hastalarda akut miyokart infarktüsü ilk akla
gelen tanıdır. Acil ayırıcı tanı ve katater laboratuvarına koroner anjiyografi
için hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografi göğüs
ağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü ve
akut miyokardit elektrokardiyografik bulguları genel olarak farklı olsa da, nadiren
bu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipik
göğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ile
birlikte DI ve AVL derivasyonlarında resiprokal ST depresyonu görülen 21
yaşında erkek hasta vakası sunduk. 

Keywords

ST elevasyonlu miyokard infarktüsü, Miyokardit, Elektrokardiyografi

A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report

Abstract

In patients admitting to the
emergency department with chest pain and ST-segment elevation, the first
diagnosis to be considered is acute myocardial infarction. Urgent differential
diagnosis and immediately referral to catheter laboratory to perform coronary
angiography is life-saving. The electrocardiography is a vital tool in the
differential diagnosis of chest pain. Although the electrocardiographic
findings of acute myocardial infarction and acute myocarditis are generally
different, rarely two diseases can mimic each other. We presented a 21-year-old
male patient who had admitted our emergency with acute typical chest pain and
ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST
depression in DI and AVL leads.

Keywords

ST elevation myocardial infarction; Myocarditis; Electrocardiography

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