Samad Abdul, Thakar Harshvardhan P, Hassan Muhammad, Kaur Jasmine, Tariq Hussein Ali
Acute Medicine/Emergency, Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, Boston, GBR.
Internal Medicine, Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, Boston, GBR.
Cureus. 2025 Aug 8;17(8):e89632. doi: 10.7759/cureus.89632. eCollection 2025 Aug.
In adults having chest pain, ST-segment elevation, both benign and pathologic, is a common finding seen on electrocardiograms (ECGs). Some degree of ST-segment elevation is common, especially in young men. Commonly referred to as benign early repolarization (BER), this elevation is seen in the precordial leads. Due to the prevalence of this finding, it is not a normal variant, but rather a normal finding. Here is an unusual case of acute myocardial infarction (MI) presenting as BER. In this case, the ECG did not show typical ST elevation or evolve over time, showing changes of Q waves as expected with ST-segment elevation myocardial infarction. However, the point-of-care troponin was elevated, and the patient was then diagnosed as having acute MI.
在有胸痛症状的成年人中，心电图（ECG）上出现的ST段抬高，无论是良性的还是病理性的，都是常见表现。一定程度的ST段抬高很常见，尤其是在年轻男性中。这种抬高常见于胸前导联，通常被称为良性早期复极（BER）。由于这一表现很常见，所以它并非正常变异，而是正常表现。以下是一例表现为BER的急性心肌梗死（MI）的罕见病例。在该病例中，心电图未显示典型的ST段抬高，也未随时间演变，未出现ST段抬高型心肌梗死预期的Q波变化。然而，即时检测肌钙蛋白升高，该患者随后被诊断为急性心肌梗死。
