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A 'shark'-masked electrocardiogram: case report of a Tako-Tsubo syndrome.


ABSTRACT:

Background

Triangular ST-segment elevation or 'shark-fin' sign has been described as a specific indicator of acute coronary occlusion and large myocardial ischaemia, translating into poorer prognosis. However, this electrocardiographic presentation has been reported in rare cases of Tako-Tsubo syndrome and associated with more severe physical stressors and neurological involvement.

Case summary

We present a rare case of a 51-year-old woman presenting with incoming epileptic attacks and concomitant pyometra. Despite controlling epilepsy with phenytoin and the surgical treatment of the infection, she developed sepsis requiring vasopressors, and thereafter sustained ventricular tachycardia and diffuse ST-segment elevation with the 'shark-fin' sign. TTC was confirmed by the docu

SUBMITTER: Verdoia M 

PROVIDER: S-EPMC8189302 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature