ST‑segment elevation myocardial infarction mimics: The differential diagnosis of nonacute coronary syndrome causes of ST‑segment/T‑wave abnormalities in the chest pain patient
James H. Moak
, Andrew E. Muck, William J. Brady
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA
Keywords: Differential diagnosis, electrocardiogram, ST segment, T wave
Abstract
The evaluation of adult patients suspected of ST segment elevation myocardial infarction (STEMI) includes a focused history and examination, 12 lead electrocardiogram (ECG), and cardiac serum marker analysis. The ECG plays a pivotal role in the early diagnosis and management of STEMI. A number of ECG entities in this patient population will present with ST segment elevation and other electrocardiographic abnormalities which can mimic STEMI. In this article, we review the most frequent STEMI mimic patterns, highlight their ECG characteristics, and compare these individual ECG entities to the electrocardiographic abnormalities present with STEMI.
How to cite this article: Moak JH, Muck AE, Brady WJ. ST-segment elevation myocardial infarction mimics: The differential diagnosis of nonacute coronary syndrome causes of ST-segment/T-wave abnormalities in the chest pain patient. Turk J Emerg Med 2024;24:206-17.