Pseudoinfarction ECG pattern caused by diaphragmatic hernia uniquely resolved by transthoracic echocardiography.
A case of pseudoinfarction electrocardiographic pattern caused by diaphragmatic hernia is presented. The transthoracic echocardiographic examination revealed a large hiatal hernia enhanced by contrast injections below the inferior wall causing paradoxical systolic motion. The location of the hernia simulated a pericardial effusion.
Buonavolonta
J J
JJ
Department of Medicine, Robert Wood Johnson Medical School at Camden, NJ.
O'Connor
W H
WH
Weiss
R L
RL
D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000503:physiopathology; D010490:Pericardial Effusion / Q000175:diagnosis / Q000000981:diagnostic imaging