Key result
Electrocardiographic ST-elevations do not always indicate acute coronary occlusions, as demonstrated in a patient presenting with nausea, vomiting, and malaise.
This case report serves as a clinical reminder that ST-segment elevations on an electrocardiogram can have etiologies other than acute coronary occlusion.
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ST-elevation warrants non-ACS differentials in acute presentations; single case leaves open broader validation before practice impact.
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Belyavskaya et al. (2021) studied this question. Electrocardiographic ST-elevations do not always indicate acute coronary occlusions, as demonstrated in a patient presenting with nausea, vomiting, and malaise.
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