Spontaneous pneumomediastinum mimicking acute pericarditis

ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the ao...

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Bibliographic Details
Published in:Clinical case reports 2021-12, Vol.9 (12), p.e05156-n/a
Main Authors: Chaudhary, Haseeb, Yousaf, Zohaib, Nasir, Usama, Waheed, Tayyab, Syed, Khezar
Format: Article
Language:English
Subjects:
Abdomen
acute pericarditis
Aneurysms
Blood pressure
Case Report
Case reports
Conflicts of interest
Consent
Diaphragm (Anatomy)
ECG
Electrocardiography
Emphysema
Esophagus
Heart attacks
Hemoglobin
Marijuana
Oxygen saturation
Oxygen therapy
Pain
Patients
Pericarditis
Pericardium
pneumomediastinum
ST‐T wave changes
Tomography
Trauma
Ultrasonic imaging
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Summary:ST elevations on electrocardiogram (ECG) have a broad differential diagnosis that can vary from benign to more ominous pathologies. These include early repolarization, coronary vasospasm, acute pericarditis, ST‐elevation myocardial infarction, ventricular aneurysms, and dissecting aneurysm of the aorta reaching the pericardium. ST‐segment changes may also provide a clue to the presence of spontaneous pneumomediastinum (SPM). These ECG changes are seldom reported in literature. We describe two SPM cases with concomitant pneumopericardium that closely mimicked acute pericarditis with a deceptive clinical spectrum. The atypical clinical presentation of pneumomediastinum may produce ECG changes. The ECG changes of pneumomediastinum can mimic acute pericarditis. Early recognition and appropriate treatment can lead to improved clinical outcomes.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.5156