Spontaneous Pneumomediastinum Mimicking Acute Pericarditis
Overview
Affiliations
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.
A clinical review of spontaneous pneumomediastinum.
Susai C, Banks K, Alcasid N, Velotta J Mediastinum. 2024; 8:4.
PMID: 38322193 PMC: 10839511. DOI: 10.21037/med-23-25.
Spontaneous pneumomediastinum mimicking acute pericarditis.
Chaudhary H, Yousaf Z, Nasir U, Waheed T, Syed K Clin Case Rep. 2021; 9(12):e05156.
PMID: 34917373 PMC: 8643493. DOI: 10.1002/ccr3.5156.