Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction

Esophageal rupture is a rare but potentially fatal cause of chest pain. The presentation is variable and can mimic other conditions such as aortic dissection, pulmonary embolism, and myocardial infarction (MI). A 71-year-old male with a history of coronary artery disease presented to the ED with com...

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Autores principales:	Wytch Rigger, Raymond Mai, P. Tim Maddux, Stuart Cavalieri, Joe Calkins
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/d0c6538962804d47b478fd9a34d50d9e
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spelling	oai:doaj.org-article:d0c6538962804d47b478fd9a34d50d9e2021-11-29T00:56:25ZEsophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction2090-643910.1155/2021/8843477https://doaj.org/article/d0c6538962804d47b478fd9a34d50d9e2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/8843477https://doaj.org/toc/2090-6439Esophageal rupture is a rare but potentially fatal cause of chest pain. The presentation is variable and can mimic other conditions such as aortic dissection, pulmonary embolism, and myocardial infarction (MI). A 71-year-old male with a history of coronary artery disease presented to the ED with complaints of acute chest pain and respiratory distress. Over the next 48 hours, the patient developed dynamic ST segment changes on surface electrocardiogram mimicking an inferolateral ST segment elevation MI accompanied by a junctional rhythm. Curiously, his cardiac enzymes remained negative during this time, but his clinical status continued to deteriorate. A subsequent CT scan demonstrated a lower esophageal rupture, and the patient underwent successful endoscopic stenting. While rare, prompt recognition of esophageal rupture is imperative to improving morbidity and mortality. While esophageal rupture has been noted to cause ST segment elevation before, this appears to be the first case associated with a junctional rhythm.Wytch RiggerRaymond MaiP. Tim MadduxStuart CavalieriJoe CalkinsHindawi LimitedarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCase Reports in Critical Care, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Wytch Rigger Raymond Mai P. Tim Maddux Stuart Cavalieri Joe Calkins Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
description	Esophageal rupture is a rare but potentially fatal cause of chest pain. The presentation is variable and can mimic other conditions such as aortic dissection, pulmonary embolism, and myocardial infarction (MI). A 71-year-old male with a history of coronary artery disease presented to the ED with complaints of acute chest pain and respiratory distress. Over the next 48 hours, the patient developed dynamic ST segment changes on surface electrocardiogram mimicking an inferolateral ST segment elevation MI accompanied by a junctional rhythm. Curiously, his cardiac enzymes remained negative during this time, but his clinical status continued to deteriorate. A subsequent CT scan demonstrated a lower esophageal rupture, and the patient underwent successful endoscopic stenting. While rare, prompt recognition of esophageal rupture is imperative to improving morbidity and mortality. While esophageal rupture has been noted to cause ST segment elevation before, this appears to be the first case associated with a junctional rhythm.
format	article
author	Wytch Rigger Raymond Mai P. Tim Maddux Stuart Cavalieri Joe Calkins
author_facet	Wytch Rigger Raymond Mai P. Tim Maddux Stuart Cavalieri Joe Calkins
author_sort	Wytch Rigger
title	Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
title_short	Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
title_full	Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
title_fullStr	Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
title_full_unstemmed	Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction
title_sort	esophageal rupture presenting with st segment elevation and junctional rhythm mimicking acute myocardial infarction
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/d0c6538962804d47b478fd9a34d50d9e
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Esophageal Rupture Presenting with ST Segment Elevation and Junctional Rhythm Mimicking Acute Myocardial Infarction

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