open access

Vol 14, No 4 (2019)
Case Reports
Published online: 2019-06-17
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Changes in ST segment imitating acute coronary syndrome in patient after pneumonectomy — case report

Patryk Łęczycki, Małgorzata Lelonek
DOI: 10.5603/FC.a2019.0049
·
Folia Cardiologica 2019;14(4):384-387.

open access

Vol 14, No 4 (2019)
Case Reports
Published online: 2019-06-17

Abstract

Ischaemic changes associated with the electrographic ST segment are indicators of myocardial ischaemia and acute coronary syndrome. For an effective therapeutic intervention, it is essential to confirm any initial diagnosis. However, many potential causes influencing the changes of ST-T segment can make differentiation and reaching a final diagnosis problematic. We present the case of a 61 year-old man with multiple comorbidities, and an overdose of digoxin after a pneumonectomy, which contributed to changes in the electrocardiogram which imitated acute coronary syndrome.

Abstract

Ischaemic changes associated with the electrographic ST segment are indicators of myocardial ischaemia and acute coronary syndrome. For an effective therapeutic intervention, it is essential to confirm any initial diagnosis. However, many potential causes influencing the changes of ST-T segment can make differentiation and reaching a final diagnosis problematic. We present the case of a 61 year-old man with multiple comorbidities, and an overdose of digoxin after a pneumonectomy, which contributed to changes in the electrocardiogram which imitated acute coronary syndrome.

Get Citation

Keywords

electrocardiography, pneumonectomy, acute coronary syndrome

About this article
Title

Changes in ST segment imitating acute coronary syndrome in patient after pneumonectomy — case report

Journal

Folia Cardiologica

Issue

Vol 14, No 4 (2019)

Pages

384-387

Published online

2019-06-17

DOI

10.5603/FC.a2019.0049

Bibliographic record

Folia Cardiologica 2019;14(4):384-387.

Keywords

electrocardiography
pneumonectomy
acute coronary syndrome

Authors

Patryk Łęczycki
Małgorzata Lelonek

References (5)
  1. Roffi M, Patrono C, Collet JP, et al. Wytyczne ESC dotyczące postępowania w ostrych zespołach wieńcowych bez przetrwałego uniesienia odcinka ST w 2015 roku. Kardiologia Polska. 2015; 73(12): 1207–1294.
  2. Zalecenia dotyczące stosowania rozpoznań elektrokardiograficznych. Dokument opracowany przez Grupę Roboczą powołaną przez Zarzàd Sekcji Elektrokardiologii Nieinwazyjnej i Telemedycyny Polskiego Towarzystwa Kardiologicznego. Kardiologia Polska. 2010; 68(supl. IV).
  3. Iisalo E. Clinical pharmacokinetics of digoxin. Clin Pharmacokinet. 1977; 2(1): 1–16.
  4. Korff S, Katus HA, Giannitsis E. Differential diagnosis of elevated troponins. Heart. 2006; 92(7): 987–993.
  5. Garg P, Morris P, Fazlanie AL, et al. Cardiac biomarkers of acute coronary syndrome: from history to high-sensitivity cardiac troponin. Intern Emerg Med. 2017; 12(2): 147–155.

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