| Escherichia coli septic shock masquerading as ST-segment elevation myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 19332967 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Elevated cardiac biomarkers in conjunction with electrocardiographic (ECG) changes are valuable in diagnosing acute coronary syndrome (ACS). Elevated troponin I (TnI), while commonly seen in ACS, can also occur in entities such as sepsis and pulmonary thromboembolic disease. Raised TnI levels in patients with sepsis result from various mechanisms, including hypoperfusion or direct extension of infection to cardiac tissue, and can also serve as an important prognostic indicator. Electrocardiographic changes in sepsis are not as well described. Some of the ECG findings associated with septic shock include loss of QRS amplitude, increase in QTc interval, bundle branch blocks, and development of narrowed QRS intervals with deformed, positively deflected J waves (commonly known as Osborn waves). ST-segment elevations in sepsis are rare and have only previously been noted in a handful of case reports involving patients with septic shock. We present a case of a 59-year-old woman with ST-segment elevations and increased levels of cardiac troponin from Escherichia coli septic shock in the setting of normal coronary angiography. |
| | |
Authors:
|
Juan D Martinez; Rajesh V Babu; Gulshan Sharma |
Related Documents
:
|
15009877 - Inappropriate icd therapy due to proarrhythmic icd shocks and hyperpolarization. 21173507 - Angiography is the gold standard and objective evidence of myocardial ischemia is manda... 10553927 - Right ventricular infarction with cardiogenic shock treated with percutaneous cardiopul... 7023737 - Augmented venous return: a model of left ventricular afterload reduction during the cou... 2950157 - Left bundle branch block: a continuously evolving concept. 2957907 - Risk of ventricular arrhythmias in left ventricular hypertrophy: the framingham heart s... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Postgraduate medicine Volume: 121 ISSN: 1941-9260 ISO Abbreviation: Postgrad Med Publication Date: 2009 Mar |
Date Detail:
|
Created Date: 2009-03-31 Completed Date: 2009-04-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0401147 Medline TA: Postgrad Med Country: United States |
Other Details:
|
Languages: eng Pagination: 102-5 Citation Subset: AIM; IM |
Affiliation:
|
Division of Allergy, Pulmonary, Immunology, Critical Care and Sleep, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555-0561, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Biological Markers
/
blood Coronary Angiography Diagnosis, Differential Electrocardiography* Escherichia coli Infections / complications, diagnosis* Female Humans Middle Aged Myocardial Infarction / diagnosis* Shock, Septic / complications, diagnosis* Troponin I / blood |
| Chemical | |
Reg. No./Substance:
|
0/Biological Markers; 0/Troponin I |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Improving microvascular outcomes in patients with diabetes through management of hypertension.
Next Document: Risk factors for mortality from primary cryptococcosis in patients with HIV.