Maria Carolina Manzur Barbur http://orcid.org/0000-0002-6900-4427 Maria Cristina Martínez-Avila http://orcid.org/0000-0002-1542-0249 Angelica Imitola Madero http://orcid.org/0000-0002-1896-8410 Jose Fernando Garcia Nunez Juan Camilo Garcia Dominguez http://orcid.org/0000-0002-4015-7243

Abstract

Calcium has a significant effect on cells in the myocardium, affecting conduction, intracellular signaling and contraction of muscle fibers. In fact, calcium levels could affect myocardial action potential and affect heart conduction. Hypocalcemia manifest on ECG with arrythmias or QT prolongation, in some extraordinary cases, it could present with variations in the ST segment, which requires the study of differential diagnoses of cardiac origin, such as acute myocardial infarction with ST elevation (STEMI) or pericarditis. We expose a case of a 28-year-old male patient who arrived at the emergency department with chest pain and was misdiagnosed with STEMI, after a complex process finally it was a severe hypocalcemia mimicking acute myocardial infarction.

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Keywords

hypocalcemia, electrocardiogram, ST segment elevation myocardial infarction, hypoparathyroidism

References
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How to Cite
Manzur Barbur, M. C., Martínez-Avila, M. C., Imitola Madero, A., Garcia Nunez, J. F., & Garcia Dominguez, J. C. (2022). Acute ST-segment elevation myocardial infarction: to be or not to be?. Archive of Clinical Cases, 9(1), Arch Clin Cases 2022; 9(1):19-23. https://doi.org/10.22551/2022.34.0901.10198
Section
Case Reports

How to Cite

Manzur Barbur, M. C., Martínez-Avila, M. C., Imitola Madero, A., Garcia Nunez, J. F., & Garcia Dominguez, J. C. (2022). Acute ST-segment elevation myocardial infarction: to be or not to be?. Archive of Clinical Cases, 9(1), Arch Clin Cases 2022; 9(1):19-23. https://doi.org/10.22551/2022.34.0901.10198