title: ST-elevation during biventricular pacing.
abstract: Pacemakers devaluate the accuracy of the electrocardiogram (ECG) for the diagnosis of myocardial ischaemia. We present the case of a 53-year-old man with ischaemic cardiomyopathy and acute chest pain. Besides biventricular pacing, new ST-segment elevations were present leading to the diagnosis of myocardial infarction. However, no ECG criteria for the diagnosis of myocardial ischaemia in biventricular-paced rhythm are available.
authors.affiliation: Klinik für Innere Medizin III, Kardiologie und Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Street 1, Homburg/Saar, Germany. christian.ukena@uks.eu
authors.forename: Christian
authors.initials: C
authors.lastname: Ukena
authors.forename: Felix
authors.initials: F
authors.lastname: Mahfoud
authors.forename: Axel
authors.initials: A
authors.lastname: Buob
authors.forename: Michael
authors.initials: M
authors.lastname: Böhm
authors.forename: Hans-Ruprecht
authors.initials: HR
authors.lastname: Neuberger
mesh_terms: D017147:Defibrillators, Implantable; D004562:Electrocardiography / Q000379:methods*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000517:prevention & control*; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000517:prevention & control*