Persistent ST-segment elevation following pericardiocentesis: caution with thrombolytic therapy.
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.
Hsia
H H
HH
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor.
Kander
N H
NH
Shea
M J
MJ
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