Nezaket Merve YAMAN, Mustafa Bilal ÖZBAY, Hasan Can KÖNTE, Ertan EKİCİ, Elif Hande Özcan ÇETİN

Resiprokal ST depresyonu ile birlikte inferiyor 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. Acil ayırıcı tanı ve katater laboratuvarına koroner anjiyografi için hemen refere edilmesi hayat kurtarıcıdır. Elektrokardiyografi göğüs ağrısının ayırıcı tanısında çok önemli bir araçtır. Akut miyokard enfarktüsü ve akut miyokardit elektrokardiyografik bulguları genel olarak farklı olsa da, nadiren bu iki hastalık birbirini taklit edebilir. Acil servisimize akut başlangıçlı tipik göğüs ağrısı ile başvuran, D2,D3,AVF derivasyonlarında ST elevasyonu ile birlikte DI ve AVL derivasyonlarında resiprokal ST depresyonu görülen 21 yaşında erkek hasta vakası sunduk.

Anahtar Kelimeler:

ST elevasyonlu miyokard infarktüsü, Miyokardit, Elektrokardiyografi

A young patient with inferior ST elevation accompanying resiprocal ST depresion: A case report

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.

Keywords:

ST elevation myocardial infarction; Myocarditis; Electrocardiography,

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