PMID- 29165973 OWN - NLM STAT- MEDLINE DCOM- 20171214 LR - 20171214 IS - 0004-4849 (Print) IS - 0004-4849 (Linking) VI - 108 IP - 2 DP - 2016 TI - ST Elevations and Elevated Cardiac Enzymes Not Always a STEMI: Two Case Reports. PG - 47-50 AB - Chest pain is a common complaint in the emergency department (ED). Besides a careful history and physical exam; electrocardiogram, laboratory tests and imaging studies are widely available diagnostic tests that are used for patient assessment. When ST elevation and elevated cardiac enzymes are present the most likely diagnosis are ST elevation myocardial infarction (STEMI) or myocarditis. In this case report we present two low risk patients for major adverse cardiac event with ST elevation and elevated cardiac enzymes and how a careful risk assessment and detailed electrocardiogram evaluation could help differentiating between these two diagnoses. FAU - Fernandez Fernandez, Juan AU - Fernandez Fernandez J FAU - Deliz-Guzman, Claudia AU - Deliz-Guzman C FAU - Andino-Colon, Cesar AU - Andino-Colon C FAU - Claudio-Hernandez, Hector AU - Claudio-Hernandez H FAU - Lugo-Amador, Nannette AU - Lugo-Amador N LA - eng PT - Case Reports PT - Journal Article PL - Puerto Rico TA - Bol Asoc Med P R JT - Boletin de la Asociacion Medica de Puerto Rico JID - 7505267 SB - IM MH - Adult MH - Chest Pain/*etiology MH - Diagnosis, Differential MH - Electrocardiography MH - Humans MH - Male MH - Myocarditis/*diagnosis/physiopathology MH - Risk Assessment/methods MH - ST Elevation Myocardial Infarction/*diagnosis/physiopathology MH - Young Adult EDAT- 2016/01/01 00:00 MHDA- 2016/01/01 00:01 CRDT- 2017/11/23 06:00 PHST- 2016/01/01 00:00 [pubmed] PHST- 2016/01/01 00:01 [medline] PHST- 2017/11/23 06:00 [entrez] PST - ppublish SO - Bol Asoc Med P R. 2016;108(2):47-50.