Inferior STEMI Electrocardiogram in a Young Postpartum Female with Sickle Cell Trait with Chest Pain - A Case Report.
Journal
Journal of education & teaching in emergency medicine
ISSN: 2474-1949
Titre abrégé: J Educ Teach Emerg Med
Pays: United States
ID NLM: 101741448
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
received:
31
05
2022
accepted:
18
09
2022
medline:
19
7
2023
pubmed:
19
7
2023
entrez:
19
7
2023
Statut:
epublish
Résumé
This is a case of a 35-year-old postpartum female presenting to the emergency department (ED) with acute onset chest pain and dyspnea with initial concern for acute ST-segment elevation myocardial infarct (STEMI). Her electrocardiogram (ECG) showed ST segment elevations in the lateral leads and inferior leads with depressions in the high lateral and septal leads. Given her post-partum status, spontaneous coronary artery dissection (SCAD) was part of the differential as well as other emergent processes. Upon cardiac catheterization, the patient was found to have 50% vasospasm in the left circumflex coronary artery. Her post-catheterization echocardiogram showed a normal ejection fraction (EF) without regional wall abnormalities. This is an interesting case of chest pain in a younger patient, without typical acute coronary syndrome (ACS) risk factors, presenting with a concerning ECG likely due to coronary vasospasm. We will discuss other atypical causes of STEMI patterns that should be considered in the differential and management of such patients. Sickle cell trait, STEMI, postpartum, vasospasm, ECG, cardiology.
Identifiants
pubmed: 37465129
doi: 10.21980/J8KP95
pii: jetem-7-4-v10
pmc: PMC10332670
doi:
Types de publication
Journal Article
Langues
eng
Pagination
V10-V14Informations de copyright
© 2022 Truong, et al.
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