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Acute Severe Chest Pain with ST-Segment Elevation in Inferior Leads During Pharmacological Cardioversion of Paroxysmal Supraventricular Tachycardia: A Case Report

Year: 2024

Type: article

Abstract: Paroxysmal supraventricular tachycardia (PSVT) is a frequently encountered arrhythmia in emergency departments, significantly affecting cardiac function and hemodynamics. The sudden onset of severe chest pain with accompanying ST-segment elevation on the electrocardiogram (ECG) during pharmacological cardioversion is rare but requires immediate intervention with coronary vasodilators, anticoagulants, and antiplatelet agents. Continuous ECG monitoring and assessment of cardiac biomarkers are essential. In facilities with appropriate resources, urgent coronary angiography is recommended to evaluate coronary anatomy, blood flow, and collateral circulation. Due to the rarity of this presentation, we report this case as a reference for clinical diagnosis and management.

Source: Asploro Journal of Biomedical and Clinical Case Reports

DOI: 10.36502/2024/asjbccr.6379

Authors: Pan Pan, Yi Qin Xia, Bin He, Yu Cao

Institutions: Sichuan University, West China Hospital of Sichuan University

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404707036