Elif Hande Ozcan CETIN, Mustafa Bilal OZBAY, Hasan Can KONTE, Nezaket Merve YAMAN, Ertan EKICI

Resiprokal ST depresyonu ile birlikte inferior ST elevasyonu olan genç hasta: Olgu sunumu

Acil servise göğüs ağrısı ve ST segment elevasyonu ile başvuran hastalarda akut miyokart infarktüsü ilk akla gelen tanıdır. Acilayırıcı tanı ve katater laboratuvarına koroner anjiyografi için hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografigöğüs ağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü ve akut miyokardit elektrokardiyografikbulguları genel olarak farklı olsa da, nadiren bu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipikgöğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ile birlikte DI ve AVL derivasyonlarında resiprokal STdepresyonu görülen 21 yaşında erkek hasta vakası sunduk.

A case report: A young patient with inferior ST elevationaccompanying resiprocal ST depresion

In patients admitting to the emergency department with chest pain and ST-segment elevation, the first diagnosis to be considered is acute myocardial infarction. Urgent differential diagnosis and immediately referral to catheter laboratory to perform coronary angiography is life-saving. The electrocardiography is a vital tool in the differential diagnosis of chest pain. Although the electrocardiographic findings of acute myocardial infarction and acute myocarditis are generally different, rarely two diseases can mimic each other. We presented a 21-year-old male patient who had admitted our emergency with acute typical chest pain and ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST depression in DI and AVL leads

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