Regional Pericarditis Mimicking as ST-segment Elevation Myocardial Infarction

Nazish Malik^1, , Munawwar Hussain¹ and Cyril Nathanial¹

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

Cite this paper:
Nazish Malik, Munawwar Hussain and 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

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.

Keywords:
pericarditis ST-segment elevation colchicine

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References:

[1]	Masek, K. P., & Levis, J. T. (2013). ECG Diagnosis: Acute Pericarditis. The Permanente Journal, 17(4), e146.
[2]	Orme, J., Eddin, M., & Loli, A. (2014). Regional pericarditis status post cardiac ablation: A case report. North American Journal of Medical Sciences, 6(9), 481-483.
[3]	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.
[4]	Youssef, G., M. D., Khouzam, S., M. D., Sprung, J., M. D.,. Ph. D., & Bourke, D. L., M. D. (2001). Regional Pericarditis Mimicking Myocardial Infarction. Anesthesiology: The Journal of the American Society of Anesthesiologists, 95(1), 261-264.
[5]	Alexander RW, Schlant RC, Fuster V: The Heart. New York, McGraw-Hill, 1998, pp 2169-74.
[6]	Acibuca, A., Gerede, D. M., Baris, V. O., & Kilickap, M. (2016). Localised pericardial effusion mimicking anterior myocardial infarction following coronary angiography. Cardiovascular Journal of Africa, 27(1), e1-e3.