Obscure ST Segment Elevation
Report:
Sinus rhythm
Diffuse ST segment elevation
Possible ischæmia
Comment:
The changes occurred following the aminophylline-induced tachycardia (Fig 129a below). The prominent T waves also suggest ischæmia, but there was no reason to suspect it otherwise. There was no question of cocaine.
One possible explanation, in aminophylline toxicity, is a preceding grand mal convulsion causing “cerebral” repolarisation changes. Again, one would expect the (usually, but not always) prolonged QT interval.
Atypical early repolarisation won the day. At least the background - a disturbed young man – was typical of that.
If you have any suggestions for or feedback on this report, please let us know.
Hi, can we chat about some terms and conditions?
The library and it's records are licensed under the Creative Commons Attribution 4.0 International license.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
By clicking agree below, you are agreeing to adhere to CC BY 4.0.