Document Detail

Chest pain and ST elevation: not always ST-segment-elevation myocardial infarction.
MedLine Citation:
PMID:  19956075     Owner:  NLM     Status:  MEDLINE    
A 59-year-old male patient affected by pleural mesothelioma presented with chest pain and localized ST elevation in the electrocardiogram. Urgent coronary angiography excluded an acute coronary occlusion, whereas high-resolution computed tomography of the chest revealed tumor infiltration and associated acute inflammation of the pericardial sac. This case illustrates how initial clinical evaluation during emergency conditions could be misled by the time-effectiveness imperative in the primary percutaneous coronary intervention era. In conclusion, early valorization of clinical signs and noninvasive diagnostic elements may add accuracy in directing the postadmission patient course.
Stylianos A Pyxaras; Geraldina Lardieri; Marco Milo; Giancarlo Vitrella; Gianfranco Sinagra
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  11     ISSN:  1558-2035     ISO Abbreviation:  J Cardiovasc Med (Hagerstown)     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-06-30     Completed Date:  2010-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  615-8     Citation Subset:  IM    
Cardiovascular Department, Ospedali Riuniti and University of Trieste, Trieste, Italy.
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MeSH Terms
Chest Pain / etiology*
Coronary Angiography
Diagnosis, Differential
Mesothelioma / complications*,  therapy
Middle Aged
Myocardial Infarction / complications,  diagnosis*
Pericardial Effusion / diagnosis*,  etiology,  therapy
Pericarditis / complications,  diagnosis*,  therapy
Pleural Neoplasms / complications*,  therapy
Tomography, X-Ray Computed

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