A myocardial infarction detected in an unusual way
An 86-year-old man presented to the emergency department with abdominal pain in the left iliac fossa and constipation in the previous three days. Laboratory tests revealed an increase in C-reactive protein levels (22.37 mg/dL), white blood cell count (12.38x109/L), neutrophil count (10.07x109/L), a...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2025-01-01
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| Series: | Emergency Care Journal |
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| Online Access: | https://www.pagepressjournals.org/ecj/article/view/13362 |
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| author | Massimo Barakat Enrico Bertagnin Lorenzo Mulazzani Francesco Galuppi Sanda Giovanna Nizzardo |
| author_facet | Massimo Barakat Enrico Bertagnin Lorenzo Mulazzani Francesco Galuppi Sanda Giovanna Nizzardo |
| author_sort | Massimo Barakat |
| collection | DOAJ |
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An 86-year-old man presented to the emergency department with abdominal pain in the left iliac fossa and constipation in the previous three days. Laboratory tests revealed an increase in C-reactive protein levels (22.37 mg/dL), white blood cell count (12.38x109/L), neutrophil count (10.07x109/L), and hyperglycemia (237 mg/dL). An abdominal contrast-enhanced computed tomography scan ruled out acute abdominal pathological findings but showed a marked hypoperfusion of the mid-apical anterior wall and the apex of the left ventricle. A subsequent electrocardiogram revealed an excessive ST elevation (>5 mm) and a negative QRS complex in precordial leads (from V1 to V6). Serial assays of high-sensitivity troponin I showed a plateau phase (from 15696.4 to 15479.3 ng/L). Echocardiography revealed a left ventricle dilated and severely hypokinetic (ejection fraction of approximately 15-20%). A diagnosis of subacute myocardial infarction with severe dysfunction of the left ventricle was therefore made.
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| format | Article |
| id | doaj-art-46f4da6dda2d4de4bca07b2c4a8f96a0 |
| institution | Kabale University |
| issn | 2282-2054 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj-art-46f4da6dda2d4de4bca07b2c4a8f96a02025-01-23T10:55:50ZengPAGEPress PublicationsEmergency Care Journal2282-20542025-01-0110.4081/ecj.2025.13362A myocardial infarction detected in an unusual wayMassimo Barakat0Enrico Bertagnin1Lorenzo Mulazzani2Francesco Galuppi3Sanda Giovanna Nizzardo4Pediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di BolognaDivision of Provincial Cardiology, Cardiothoracic Vascular Department, Azienda Unità Sanitaria Locale di FerraraEmergency Department, IRCCS Azienda Ospedaliero-Universitaria di BolognaPediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di BolognaPediatric and Adult CardioThoracic and Vascular, Oncohematologic and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna An 86-year-old man presented to the emergency department with abdominal pain in the left iliac fossa and constipation in the previous three days. Laboratory tests revealed an increase in C-reactive protein levels (22.37 mg/dL), white blood cell count (12.38x109/L), neutrophil count (10.07x109/L), and hyperglycemia (237 mg/dL). An abdominal contrast-enhanced computed tomography scan ruled out acute abdominal pathological findings but showed a marked hypoperfusion of the mid-apical anterior wall and the apex of the left ventricle. A subsequent electrocardiogram revealed an excessive ST elevation (>5 mm) and a negative QRS complex in precordial leads (from V1 to V6). Serial assays of high-sensitivity troponin I showed a plateau phase (from 15696.4 to 15479.3 ng/L). Echocardiography revealed a left ventricle dilated and severely hypokinetic (ejection fraction of approximately 15-20%). A diagnosis of subacute myocardial infarction with severe dysfunction of the left ventricle was therefore made. https://www.pagepressjournals.org/ecj/article/view/13362Myocardial infarctioncomputed tomographyelectrocardiogramheart |
| spellingShingle | Massimo Barakat Enrico Bertagnin Lorenzo Mulazzani Francesco Galuppi Sanda Giovanna Nizzardo A myocardial infarction detected in an unusual way Emergency Care Journal Myocardial infarction computed tomography electrocardiogram heart |
| title | A myocardial infarction detected in an unusual way |
| title_full | A myocardial infarction detected in an unusual way |
| title_fullStr | A myocardial infarction detected in an unusual way |
| title_full_unstemmed | A myocardial infarction detected in an unusual way |
| title_short | A myocardial infarction detected in an unusual way |
| title_sort | myocardial infarction detected in an unusual way |
| topic | Myocardial infarction computed tomography electrocardiogram heart |
| url | https://www.pagepressjournals.org/ecj/article/view/13362 |
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