Abstract

Ischaemic changes associated with the electrographic ST segment are indicators of myocardial ischaemia and acute coronary syndrome. For an effective therapeutic intervention, it is essential to confirm any initial diagnosis. However, many potential causes influencing the changes of ST-T segment can make differentiation and reaching a final diagnosis problematic. We present the case of a 61 year-old man with multiple comorbidities, and an overdose of digoxin after a pneumonectomy, which contributed to changes in the electrocardiogram which imitated acute coronary syndrome.

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