title: Persistent ST-segment elevation following pericardiocentesis: caution with thrombolytic therapy.
abstract: We report a case of persistent electrocardiographic ST-elevation following pericardiocentesis despite lack of evidence for transmural infarction or vasospasm. The electrocardiographic pattern was felt to reflect subepicardial injury due to a small myocardial laceration. The implications of this finding are discussed.
authors.affiliation: Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
authors.forename: H H
authors.initials: HH
authors.lastname: Hsia
authors.forename: N H
authors.initials: NH
authors.lastname: Kander
authors.forename: M J
authors.initials: MJ
authors.lastname: Shea
mesh_terms: D000368:Aged; D001145:Arrhythmias, Cardiac / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects; D004322:Drainage / Q000009:adverse effects*; D004562:Electrocardiography; D005260:Female; D006335:Heart Injuries / Q000209:etiology; D006801:Humans