2016
DOI: 10.1136/bcr-2016-214906
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Oesophageal rupture masquerading as STEMI

Abstract: A 67-year-old man presented to the emergency department, with acute onset of chest pain. Based on ECG changes suggestive of ST elevation myocardial infarction (STEMI), he was taken emergently to the cardiac catheterisation laboratory for coronary angiography. There he was found to have only non-obstructive coronary disease. Subsequent physical examination and review of his chest radiograph revealed subcutaneous emphysema, and CT scan revealed a distal oesophageal rupture and pneumomediastinum. After stabilisat… Show more

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Cited by 8 publications
(4 citation statements)
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“…In this case, diagnosis was complicated by the presence of localized and evolving ST segment elevations in the setting of known ischemic heart disease. A review of literature returned a small number of case reports of esophageal perforation causing ST segment elevations on surface ECG [ 1 , 8 , 9 , 10 ]. In all cases, cardiac biomarkers remained negative throughout.…”
Section: Discussionmentioning
confidence: 99%
“…In this case, diagnosis was complicated by the presence of localized and evolving ST segment elevations in the setting of known ischemic heart disease. A review of literature returned a small number of case reports of esophageal perforation causing ST segment elevations on surface ECG [ 1 , 8 , 9 , 10 ]. In all cases, cardiac biomarkers remained negative throughout.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, the clinical scenario in patients with underlying SPM can pose a diagnostic challenge due to ST-T changes on EKG that may mimic acute coronary syndrome. (6)(7)(8) These EKG changes associated with SPM have seldom been reported in the literature. We describe two SP cases with concomitant pneumopericardium that closely mimics acute pericarditis with a deceptive clinical spectrum.…”
Section: Introductionmentioning
confidence: 93%
“…Both myocardial infarction and Boerhaave's syndrome are medical emergencies that need to be diagnosed and treated as soon as possible. Few cases have been reported causing ST-segment elevation and making the diagnosis more complicated [54][55][56][57]. One thing that is persistent in all the cases was that cardiac biomarkers were negative.…”
Section: Esophageal Rupturementioning
confidence: 99%