Why the study?
Coronary artery disease combined with sepsis-associated myocardial ischemia presenting with diffuse ST elevation is rarely reported, creating challenges in distinguishing it from STEMI.
Physicians must be aware of non-ischemic ST elevation etiologies like sepsis to avoid inappropriate PCI activation.
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Case of sepsis-induced diffuse ST elevation in severe CAD cautions against reflexive PCI; leaves open validation in prospective cohorts.
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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Hsu et al. (2019) studied this question.
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