We read the case report of Sharma et al [
[1]
] with great interest and would like to share some more information. Although myocardial
infarction has to be considered as the first and foremost with ST-segment elevation
from an electrocardiogram for optimal management, however, there are various noncardiac
fatal conditions present as ST-segment changes in electrocardiogram [
[2]
]. Furthermore, targets for reperfusion have drastically altered the assessment of
patients with chest pain. Gu et al [
[3]
] reported an alternative diagnosis in 2.3% of patients with suspected ST-segment elevation
myocardial infarction (STEMI) referred for primary percutaneous coronary intervention,
although it varies between 1.4% and 13% in literature [
[4]
]. We have previously reported a case series of ST-segment abnormalities in spontaneous
pneumothorax along with mechanisms for these changes [
[5]
].To read this article in full you will need to make a payment
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References
- Treatment for ST-elevation myocardial infarction—bronchoscopy.Am J Emerg Med. 2012; 30: 1660.e1-1660.e4
- ST-segment elevation in conditions other than acute myocardial infarction.N Engl J Med. 2003; 349: 2128-2135
- Conditions mimicking acute ST-segment elevation myocardial infarction in patients referred for primary percutaneous coronary intervention.Neth Heart J. 2008; 16: 325-331
- False positive ST elevation in patients undergoing direct percutaneous coronary intervention-Abstract 1756.Circulation. 2006; 114: II_346
- Electrocardiographic changes in spontaneous pneumothorax.Int J Cardiol. 2011; 153: 78-80
- Reversible ST-segment elevation associated with atelectasis of the left lung.South Med J. 2005; 98: 950-952
- Hypoxia-reoxygenation triggers coronary vasospasm in isolated bovine coronary arteries via tyrosine nitration of prostacyclin synthase.J Exp Med. 1999; 190: 135-139
Article Info
Publication History
Published online: January 21, 2013
Accepted:
December 5,
2012
Received:
December 4,
2012
Footnotes
☆Financial support—Nil.
☆☆Conflict of interest—Nil.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
