Mochamad Yusuf Alsagaff, - and Yudi Her Oktaviono, - and Terrence Timothy Evan Lusida, - (2022) Diagnostic Dilemma of Pericarditis Concurrent with ST Elevation Myocardial Infarction. Diagnostic Dilemma of Pericarditis Concurrent with ST Elevation Myocardial Infarction, 182 (5). pp. 551-552. ISSN 2168-6106

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Abstract

A 57-year-old man presented to the emergency department with persistent diffuse ST elevation (STE) after failed treatment with streptokinase therapy that was administered the day prior (the onset of chest pain to lytic bolus was 8 hours). The pain was persistent, radiated to the back, and was exacerbated by coughing. He had normal blood pressure (100/60 mm Hg), mild dyspnea with bibasilar rales (22 breaths per minute), elevated jugular venous pulse, and pericardial friction rub. A 12-lead electrocardiogram (ECG) was obtained (Figure, A).

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