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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