Typical pericarditis ECG findings after falling from height. The PR segment depression or ST segment elevation?
Murat Sucu, Gokhan Altunbas, Fatma Yilmaz Coskun,
Gaziantep University, Department of Cardiology, Gaziantep, Turkey
Keywords: ECG, Pericarditis, Trauma
Acute pericarditis (AP) following blunt thoracic trauma is rare and difficult to diagnosis. A 43-year-old man with offered to the emergency department (ED) after falling from height before a week ago. The ECG performed in the ED was abnormal, ECG revealed PR segment depression in leads DII, DIII, aVF, and V3-6 and a preliminary diagnosis of acute inferolateral STEMI was presumed. Patients have evidence of systemic inflammation, including leukocytosis, elevated erythrocyte sedimentation rate. We are reporting a case of post-traumatic acute pericarditis presenting with PR-segment depression and normal cardiac enzymes mimicking acute STEMI.