Abstract |
External direct current (DC) shocks are and have long been commonly used for electrical cardioversion/defibrillation of atrial or ventricular arrhythmias. ST-segment elevation after cardio version with DC is an easily ignored phenomenon, occurring acutely and resolving during the first few minutes postshock. Here, we describe electrocardiographic findings of widespread ST-segment elevation lasting at least 1 hour after DC cardioversion for ventricular defibrillation due to Brugada syndrome and mimicking acute myocardial infarction (AMI). This case of ST-segment elevation without a dynamic and evolving AMI underscores the need to consider other causes of ST-segment elevation.
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Authors | Peiren Shan, Jie Lin, Weiwei Xu, Weijian Huang |
Journal | The American journal of emergency medicine
(Am J Emerg Med)
Vol. 32
Issue 11
Pg. 1438.e1-3
(Nov 2014)
ISSN: 1532-8171 [Electronic] United States |
PMID | 24856749
(Publication Type: Case Reports, Journal Article, Review)
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Topics |
- Adult
- Brugada Syndrome
(diagnosis, physiopathology, therapy)
- Coronary Angiography
- Defibrillators, Implantable
- Diagnosis, Differential
- Electric Countershock
- Electrocardiography
- Humans
- Male
- Myocardial Infarction
(diagnosis, physiopathology)
- Ventricular Fibrillation
(diagnosis, physiopathology, therapy)
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