Abstract
Coronary artery disease combined sepsis associated myocardial ischemia resulting in diffuse ST elevation on electrocardiogram has rarely been reported. We reported a rare case of diffuse ST elevation precipitated by septic shock and preexisting severe atherosclerosis heart disease. In clinical scenario, it is imperative for physicians to be aware of non-ischemic ST elevation etiologies and avoid inappropriate activation of the percutaneous coronary intervention (PCI) protocol, while not missing ST elevation myocardial infarction.
Highlights
Patients with sepsis can have elevated serum Troponin I values and several characteristic electrocardiogram (ECG) changes
We presented an unusual case of diffuse ST elevation precipitated by urinary tract infection complicated septic shock and preexisting severe atherosclerosis heart disease
There were many non-ischemic ST elevation etiologies should be take into consideration
Summary
Patients with sepsis can have elevated serum Troponin I values and several characteristic electrocardiogram (ECG) changes. Sepsis rarely causes diffuse ST elevation on ECG. Diffuse ST elevation on ECG is extremely rare individually in patients with acute myocardial infarction or septic shock [1,2,3]. We presented an unusual case of diffuse ST elevation precipitated by urinary tract infection complicated septic shock and preexisting severe atherosclerosis heart disease.
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