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Recurrent ST-segment elevation in infarct-associated leads
  1. Hongyi Wu,
  2. Juying Qian,
  3. Junbo Ge
  1. Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
  1. Correspondence to Dr Junbo Ge, Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University; 180 Fenglin Road, Shanghai 200032, China; ge.junbo2{at}zs-hospital.sh.cn

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Clinical introduction

Early recurrence of focal ST-segment elevation after acute ST-elevation myocardial infarction (STEMI) usually indicates myocardial reinfarction. However, it can be seen in threatened myocardial rupture, a situation in which administration of potent antithrombotic and thrombolytic therapy may be catastrophic. Herein, we present the case of an 84-year-old woman with STEMI undergoing urgent stenting who had a recurrence of chest pain with cardiogenic shock and new ST elevation in the infarct-related leads mimicking myocardial ischaemia. A patent stent showed by repeated angiography, presence of pericardial effusion and absence of recurrent rise in cardiac marker suggest the diagnosis of a contained left ventricular rupture. The experience of any clinician in dealing with …

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