Key result
Severe dysionia can mimic STEMI on electrocardiogram.
Why the study?
Other conditions can cause an ST-segment elevation myocardial infarction–like electrocardiogram, which may lead to diagnostic confusion.
Case Report (n=1)
Physicians should be aware that severe dysionia can cause ECG changes mimicking STEMI to avoid misdiagnosis.
Severe dysionia can mimic STEMI on ECG; leaves open broader differentials in atypical presentations pending prospective validation.
Electrocardiogram is fundamental to diagnose ST-segment elevation myocardial infarction in patients with chest pain , other consistent symptoms, and/or echocardiographic abnormalities. Nevertheless, physicians should remember that other conditions can cause an ST-segment elevation myocardial infarction–like electrocardiogram. We exemplify this warning describing the case of an electrocardiogram mimicking ST-segment elevation myocardial infarction caused by severe dysionia. ( Level of Difficulty: Beginner. )
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Merlo et al. (2021) conducted a case report in ST-segment elevation mimicking STEMI caused by severe dysionia (n=1). Severe dysionia was evaluated. Severe dysionia can cause an electrocardiogram mimicking ST-segment elevation myocardial infarction.
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