title: [The clinical significance of postictal electrocardiographic changes mimicking acute myocardial infarction].
abstract: The electrocardiogram (ECG) is of critical importance in the diagnosis of acute myocardial infarction. Clinical conditions such as acute pericarditis, esophageal rupture, pancreatitis, subarachnoid hemorrhage, perforated duodenal ulcer, pneumothorax and status following elective DC cardioversion result in ECG changes that include ST elevation and T wave inversion. This report aims to increase the awareness of non-cardiac syndromes, with ECG abnormalities mimicking acute myocardial infarction, and thus to avoid unjustified thrombolytic therapy. We describe the case of a patient after epileptic seizures and pathological EEG pattern. The ECG showed repolarization abnormalities suggestive of evolving acute myocardial infarction. The cardiac enzymes (except normal Troponin I) were severely elevated and coronary angiography was normal.
authors.affiliation: Cardiology Department and Heart Institute, Western Galilee Hospital, Nahariya, Israel.
authors.forename: Malka
authors.initials: M
authors.lastname: Yahalom
authors.forename: Marc
authors.initials: M
authors.lastname: Gellerman
authors.forename: Alice
authors.initials: A
authors.lastname: Wishniak
authors.forename: Marc
authors.initials: M
authors.lastname: Brezins
authors.forename: Nathan
authors.initials: N
authors.lastname: Roguin
mesh_terms: D000208:Acute Disease; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*