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Imazio, M., Spodick, D. H., Brucato, A., Trinchero, R., Markel, G., & Adler, Y. (2010). Diagnostic issues in the clinical management of pericarditis. International Journal of Clinical Practice, 64(10), 1384-1392.

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Article

Regional Pericarditis Mimicking as ST-segment Elevation Myocardial Infarction

1Department of Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, PA


American Journal of Medical Case Reports. 2020, Vol. 8 No. 11, 433-434
DOI: 10.12691/ajmcr-8-11-15
Copyright © 2020 Science and Education Publishing

Cite this paper:
Nazish Malik, Munawwar Hussain, Cyril Nathanial. Regional Pericarditis Mimicking as ST-segment Elevation Myocardial Infarction. American Journal of Medical Case Reports. 2020; 8(11):433-434. doi: 10.12691/ajmcr-8-11-15.

Correspondence to: Nazish  Malik, Department of Internal Medicine, Conemaugh Memorial Medical Center, Johnstown, PA. Email: namalik@conemaugh.org

Abstract

Acute pericarditis is common and often mimics acute coronary syndrome (ACS) in clinical as well as electrographic presentation. It is essential to differentiate between these two conditions, as treatment is different. A rare form of acute pericarditis, regional pericarditis, can be elusive, especially when it presents on EKG as an acute ST-segment elevation MI of a particular wall. We present a case of localized (regional) pericarditis in a 66-year-old female with a history of rheumatoid arthritis who presented to the emergency department with localized left-sided chest pain. Her arrival EKG showed acute anterolateral wall ST-segment elevation. The patient received diagnostic cardiac catheterization, treatment with colchicine and steroid, which produced resolution of symptoms and EKG changes.

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