Early repolarization as a distractor in acute coronary syndrome: a case report

Electrocardiographic findings in ST-segment elevation acute myocardial infarction do not always evolve in a typical manner, with concomitant changes such as early repolarization that can cause diagnostic confusion. We present the case of a patient with typical chest pain and an atypical electrocardi...

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Detalhes bibliográficos
Autores: More-Terán, Juan Carlos, Zumaeta-Cabrera, Carito Lisset, Garcia-Saavedra, Mario B
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2025
País:Perú
Recursos:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositório:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Idioma:espanhol
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/2672
Acesso em linha:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2672
Access Level:Acceso aberto
Palavra-chave:Infarto de miocardio
Repolarización precoz
Dolor torácico
Síndrome coronario agudo
Myocardial Infarction
Early repolarization
Chest Pain
Acute Coronary Syndrome
Descrição
Resumo:Electrocardiographic findings in ST-segment elevation acute myocardial infarction do not always evolve in a typical manner, with concomitant changes such as early repolarization that can cause diagnostic confusion. We present the case of a patient with typical chest pain and an atypical electrocardiogram, in which the presence of early repolarization in the inferior leads caused subtle changes in the precordial leads to be overlooked, leading to an error in the initial diagnosis but not in the treatment.