Pseudoischemic ECG abnormalities (clinical case and literature review)

Abstract

Electrocardiographic repolarization abnormalities do not always indicate cardiovascular disease and life-threatening conditions. Therefore, an integrated approach, case follow-up and cooperation of functional medicine practitioners, cardiologists and general practitioners are needed. The spectrum of conditions leading to non-ischemic ST elevation or depression can be associated with both electrolyte disturbances and various extracardiac disorders. Modern electrocardiographic diagnosis and differential approach are necessary to reduce the risk of life-threatening conditions in this patient population.

A patient with atrial fibrillation and grade III left atrial spontaneous echo contrast after borreliosis. Case report

“…Тактика ведения пациентом с эффектом СПЭК в настоящее время остается не до конца ясной, поскольку в современных клинических рекомендациях отсутствует информация о данном феномене. При выявлении СПЭК III-IV степени и низкой скорости кровотока в ушке ЛП требуется тщательная оценка полости ушка ЛП в случае планируемого проведения кардио версии или оперативного вмешательства [4].…”