Electrocardiographical case. A young man with chest pain

Ho KW, Hsu LF
Correspondence: Dr Ho Kay Woon, ho_kay_woon@nhc.com.sg

ABSTRACT
A 31-year-old Chinese man presented with complaint of acute chest pain. 12-lead electrocardiogram (ECG) showed sinus rhythm, with widespread upward concave ST segment elevations. The ECG changes along with a history of acute chest pain in a young man with minimal coronary risk factors are suggestive of acute pericarditis. He subsequently developed a pericardial effusion. Diagnosis, treatment and complications of acute percarditis are discussed.

Keywords: acute pericarditis, chest pain, electrocardiogram, ST segment elevation
Singapore Med J 2006; 47(5): 431-435