PMID- 23993002
OWN - NLM
STAT- MEDLINE
DCOM- 20140520
LR  - 20240519
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 65
IP  - 4
DP  - 2013 Jul-Aug
TI  - ST segment elevations: always a marker of acute myocardial infarction?
PG  - 412-23
LID - S0019-4832(13)00193-4 [pii]
LID - 10.1016/j.ihj.2013.06.013 [doi]
AB  - Chest pain is one of the chief presenting complaints among patients attending 
      Emergency department. The diagnosis of acute myocardial infarction may be a 
      challenge. Various tools such as anamnesis, blood sample (with evaluation of 
      markers of myocardial necrosis), ultrasound techniques and coronary computed 
      tomography could be useful. However, the interpretation of electrocardiograms of 
      these patients may be a real concern. The earliest manifestations of myocardial 
      ischemia typically interest T waves and ST segment. Despite the high sensitivity, 
      ST segment deviation has however poor specificity since it may be observed in 
      many other cardiac and non-cardiac conditions. Therefore, when ST-T abnormalities 
      are detected the physicians should take into account many other parameters (such 
      as risk factors, symptoms and anamnesis) and all the other differential 
      diagnoses. The aim of our review is to overview of the main conditions that may 
      mimic a ST segment Elevation Myocardial Infarction (STEMI).
CI  - Copyright (c) 2013 Cardiological Society of India. Published by Elsevier B.V. All 
      rights reserved.
FAU - Coppola, G
AU  - Coppola G
AD  - O.U. of Cardiology, A.O.U. Policlinico "P. Giaccone", University of Palermo, 
      Italy.
FAU - Carita, P
AU  - Carita P
FAU - Corrado, E
AU  - Corrado E
FAU - Borrelli, A
AU  - Borrelli A
FAU - Rotolo, A
AU  - Rotolo A
FAU - Guglielmo, M
AU  - Guglielmo M
FAU - Nugara, C
AU  - Nugara C
FAU - Ajello, L
AU  - Ajello L
FAU - Santomauro, M
AU  - Santomauro M
FAU - Novo, S
AU  - Novo S
CN  - Italian Study Group of Cardiovascular Emergencies of the Italian Society of 
      Cardiology
LA  - eng
PT  - Journal Article
PT  - Review
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Arrhythmias, Cardiac/diagnosis/physiopathology
MH  - Brugada Syndrome
MH  - Cardiac Conduction System Disease
MH  - Cardiovascular Diseases/diagnosis/physiopathology
MH  - Chest Pain/diagnosis/physiopathology
MH  - Diagnosis, Differential
MH  - *Electrocardiography
MH  - Gastrointestinal Diseases/diagnosis/physiopathology
MH  - Heart Conduction System/abnormalities/physiopathology
MH  - Humans
MH  - Lung Diseases/diagnosis/physiopathology
MH  - Myocardial Infarction/*diagnosis/*physiopathology
PMC - PMC3860734
OTO - NOTNLM
OT  - Chest pain
OT  - Differential diagnosis
OT  - ECG
OT  - Myocardial infarction
OT  - ST segment
EDAT- 2013/09/03 06:00
MHDA- 2014/05/21 06:00
PMCR- 2013/07/01
CRDT- 2013/09/03 06:00
PHST- 2012/12/17 00:00 [received]
PHST- 2013/06/19 00:00 [accepted]
PHST- 2013/09/03 06:00 [entrez]
PHST- 2013/09/03 06:00 [pubmed]
PHST- 2014/05/21 06:00 [medline]
PHST- 2013/07/01 00:00 [pmc-release]
AID - S0019-4832(13)00193-4 [pii]
AID - 10.1016/j.ihj.2013.06.013 [doi]
PST - ppublish
SO  - Indian Heart J. 2013 Jul-Aug;65(4):412-23. doi: 10.1016/j.ihj.2013.06.013.