Spontaneous pneumomediastinum mimicking acute pericarditis

Abstract ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm...

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Main Authors: Haseeb Chaudhary, Zohaib Yousaf, Usama Nasir, Tayyab Waheed, Khezar Syed
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.5156
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author Haseeb Chaudhary
Zohaib Yousaf
Usama Nasir
Tayyab Waheed
Khezar Syed
author_facet Haseeb Chaudhary
Zohaib Yousaf
Usama Nasir
Tayyab Waheed
Khezar Syed
author_sort Haseeb Chaudhary
collection DOAJ
description Abstract ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST‐segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum.
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spelling doaj.art-ac9aeeff22ee4d92945480b58e43850b2022-12-22T04:16:19ZengWileyClinical Case Reports2050-09042021-12-01912n/an/a10.1002/ccr3.5156Spontaneous pneumomediastinum mimicking acute pericarditisHaseeb Chaudhary0Zohaib Yousaf1Usama Nasir2Tayyab Waheed3Khezar Syed4Department of Medicine Reading HospitalTower Health System Reading Pennsylvania USADepartment of Medicine Hamad General Hospital Doha QatarDepartment of Medicine Reading HospitalTower Health System Reading Pennsylvania USADepartment of Medicine Reading HospitalTower Health System Reading Pennsylvania USADepartment of Medicine Reading HospitalTower Health System Reading Pennsylvania USAAbstract ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST‐segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum.https://doi.org/10.1002/ccr3.5156acute pericarditisECGpneumomediastinumST‐T wave changes
spellingShingle Haseeb Chaudhary
Zohaib Yousaf
Usama Nasir
Tayyab Waheed
Khezar Syed
Spontaneous pneumomediastinum mimicking acute pericarditis
Clinical Case Reports
acute pericarditis
ECG
pneumomediastinum
ST‐T wave changes
title Spontaneous pneumomediastinum mimicking acute pericarditis
title_full Spontaneous pneumomediastinum mimicking acute pericarditis
title_fullStr Spontaneous pneumomediastinum mimicking acute pericarditis
title_full_unstemmed Spontaneous pneumomediastinum mimicking acute pericarditis
title_short Spontaneous pneumomediastinum mimicking acute pericarditis
title_sort spontaneous pneumomediastinum mimicking acute pericarditis
topic acute pericarditis
ECG
pneumomediastinum
ST‐T wave changes
url https://doi.org/10.1002/ccr3.5156
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