Pseudo-Infarction Patterns Leading to Undue Thrombolysis

Volume 2 - Issue 5

Ahmad Hasan*, Muhammad Muzamil, Hassan Irshad, Aqib Javed, Muhammad Iqbal and Muhammad Waqas

Received: November 19, 2018;   Published: November 27, 2018

DOI: 10.32474/RRHOAJ.2018.02.000147

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Abstract

Background: Acute ST elevation Myocardial Infarction (MI) is a life-threatening emergency, recognized on Electrocardiogram as ST Elevation requiring urgent management in the form of reperfusion therapy. There are some other causes of ST elevation as well, that are needed to be kept in mind before giving reperfusion therapy to only to true ischemic events. This study was carried out to look for the pseudo-infarction patterns leading to undue delivery of thrombolytic therapy.

Methods: A retrospective study was done. All patients suspected of ST elevation MI given thrombolytic therapy were analyzed, with cardiac enzymes and echocardiography (ECHO), that whether the event was truly ischemic or they were unduly diagnosed and treated as infarction.

Results: There are few causes of pseudo ST Elevation that are to be looked for before giving thrombolytic therapy in suspected ST elevation MI.

Conclusion: Every ST Elevation is not an infarction so a careful approach is required to rule in and rule out infarction in emergency room.

Keywords: ST Elevation Myocardial Infarction; Pseudo-infarction; Reperfusion

Abbreviations: MI: Myocardial Infarction; STEMI: ST Elevation myocardial infarction; ECHO: Echocardiography; LBBB: Left Bundle Branch Block; LVH: Left ventricular Hypertrophy; ERP: Early repolarization pattern; ECG: Electrocardiogram; WPW: Wolf Parkinson White; STE: ST elevation; ERP: Early repolarization syndrome; ACS: acute coronary syndrome

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