Document Detail


Pseudomyocardial Infarction Caused by Expansion of Colonic Tube Used for Esophageal Reconstruction.
MedLine Citation:
PMID:  22874620     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ABSTRACT:: Electrocardiography (ECG) is a useful tool for detecting ischemic heart disease. However, it has been pointed out that those ECG abnormalities resembling myocardial ischemia may be induced by extracardiac factors. We describe a 44-year-old man in whom a colonic tube was used for esophageal reconstruction via the anterior mediastinum after esophagectomy and gastrectomy for gastrointestinal corrosive injury. The reconstructive tube filled with gas resulted in compression of the heart and caused angina-like chest pain associated with ST-segment elevation in lead II, III and aVF on the ECG. Coronary angiography revealed no stenosis of arteries. Decompression of the colonic tube by the nasogastric tube resulted in normalization of the ECG.
Authors:
Ching-Hsiang Lin; Shih-Hung Tsai; Sy-Jou Chen; Tsu-Yi Chen
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-7
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  -     ISSN:  1538-2990     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Emergency Medicine (C-HL, S-HT, S-JC, T-YC), Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China.
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