Key result
A 20-year-old male presented with an EKG pattern mimicking acute myocardial infarction, which was found to be a pseudo-infarction pattern associated with a lax esophageal hiatus and severe erosive gastritis.
Case Report (n=1)
No
Severe erosive gastritis with a lax esophageal hiatus can present with a pseudo-myocardial infarction EKG pattern, highlighting the importance of correlating EKG findings with clinical and angiographic data to avoid inappropriate thrombolytic therapy.
The case is presented of a 20 year old male who attended the emergency department with sudden onset of chocking discomfort in the throat & vague epigastric pain following a brief history of shortness of breath on exertion. Patient had no history of Ischemic heart disease. A routine electro-cardiograph (EKG) demonstrated an ST elevation in V1 to V4 with Q waves in II, III, and AVF consistent with acute myocardial infarction. Troponin I at admission & 12 hours later were normal (8.2 ng/ml). CT coronary angiography was reported normal. EKG changes compatible with Acute Myocardial Infarction have been reported with a number of non-cardiac manifestations. To our knowledge, it has never been reported in relation to lax esophageal hiatus with severe erosive gastritis. Possible mechanisms of Pseudo-myocardial Infarct & its importance is discussed.
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Sh et al. (2014) conducted a case report in Pseudo-myocardial infarction (n=1). Lax esophageal hiatus with severe erosive gastritis was evaluated on EKG changes mimicking acute myocardial infarction. A 20-year-old male presented with an EKG pattern mimicking acute myocardial infarction, which was found to be a pseudo-infarction pattern associated with a lax esophageal hiatus and severe erosive gastritis.
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