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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Detalles Bibliográficos
Autores: More-Terán, Juan Carlos, Zumaeta-Cabrera, Carito Lisset, Garcia-Saavedra, Mario B
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Perú
Institución:Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Repositorio:Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Idioma:español
OAI Identifier:oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/2672
Acceso en línea:https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2672
Access Level:acceso abierto
Palabra clave:Infarto de miocardio
Repolarización precoz
Dolor torácico
Síndrome coronario agudo
Myocardial Infarction
Early repolarization
Chest Pain
Acute Coronary Syndrome
Descripción
Sumario: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.