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November 26, 2003New England Journal of Medicine657 citations

ST-Segment Elevation in Conditions Other Than Acute Myocardial Infarction

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KWKyuhyun WangRARichard AsingerHMHenry J.L. Marriott

Key Points

  • To review and describe clinical conditions other than acute myocardial infarction that cause ST-segment elevation on an electrocardiogram.
  • Narrative synthesis of electrocardiographic abnormalities that mimic acute myocardial infarction.
  • Evaluation of diagnostic features to assist in time-sensitive clinical decisions regarding reperfusion therapy.
  • Numerous cardiac and non-cardiac conditions present with ST-segment elevation resembling acute myocardial infarction.
  • Accurate differentiation of non-infarction causes is critical to prevent unnecessary emergency reperfusion interventions and avoid treatment delays.

Abstract

Many conditions other than acute myocardial infarction cause elevation of ST segments on an electrocardiogram. This review explains the conditions that may mimic acute myocardial infarction electrocardiographically. Because decisions about reperfusion therapy must be made quickly for patients with myocardial infarction, it is important to recognize and differentiate other causes of ST-segment elevation.

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Cite This Study

Wang et al. (2003) studied this question.

synapsesocial.com/papers/69fab3d679c9fe70ce3f5691https://doi.org/10.1056/nejmra022580
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of Total Coronary Occlusion during the Early Hours of Transmural Myocardial Infarction1980 · 2,749 citations
  2. 2Errors in Emergency Physician Interpretation of ST‐segment Elevation in Emergency Department Chest Pain Patients2000 · 70 citations
  3. 3Electrocardiographic ST‐segment Elevation: Correct Identification of Acute Myocardial Infarction (AMI) and Non‐AMI Syndromes by Emergency Physicians2001 · 71 citations
  4. 4Coronary Arterial Spasm in Prinzmetal Angina1973 · 594 citations
  5. 5Incidence and clinical significance of ST segment elevation after electrical cardioversion of atrial fibrillation and atrial flutter1991 · 60 citations