Open AccessSpontaneous pneumomediastinum mimicking acute pericarditis
Author(s) -
Chaudhary Haseeb,
Yousaf Zohaib,
Nasir Usama,
Waheed Tayyab,
Syed Khezar
Publication year - 2021
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5156
Subject(s) - medicine , acute pericarditis , cardiology , pericarditis , pericardium , pneumomediastinum , pneumopericardium , concomitant , myocardial infarction , differential diagnosis , radiology , complication , pathology
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.