| Chest pain and ST elevation: not always ST-segment-elevation myocardial infarction. | |
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MedLine Citation:
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PMID: 19956075 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Stylianos A Pyxaras; Geraldina Lardieri; Marco Milo; Giancarlo Vitrella; Gianfranco Sinagra |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiovascular medicine (Hagerstown, Md.) Volume: 11 ISSN: 1558-2035 ISO Abbreviation: J Cardiovasc Med (Hagerstown) Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-06-30 Completed Date: 2010-10-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101259752 Medline TA: J Cardiovasc Med (Hagerstown) Country: United States |
Other Details:
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Languages: eng Pagination: 615-8 Citation Subset: IM |
Affiliation:
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Cardiovascular Department, Ospedali Riuniti and University of Trieste, Trieste, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Chest Pain
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etiology* Coronary Angiography Diagnosis, Differential Echocardiography Electrocardiography Humans Male 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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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