Acute Severe Chest Pain with ST-Segment Elevation in Inferior Leads During Pharmacological Cardioversion of Paroxysmal Supraventricular Tachycardia: A Case Report

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Acute Severe Chest Pain with ST-Segment Elevation in Inferior Leads During Pharmacological Cardioversion of Paroxysmal Supraventricular Tachycardia: A Case Report | Abstract

Asploro Journal of Biomedical and Clinical Case Reports

ISSN: 2582-0370

Article Type: Case Report

DOI: 10.36502/2024/ASJBCCR.6379

Asp Biomed Clin Case Rep. 2024 Nov 12;7(3):288-93

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Pan Pan^1,2, Yi Qin Xia^1,2, Bin He^1,2, Yu Cao^1,2*
¹Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China
²Emergency Department, West China Hospital, West China School of Medicine, Sichuan University, Chengdu, China

Corresponding Author: Yu Cao
Address: Emergency Department, Sichuan University West China Hospital, No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, 610041 China.
Received date: 22 October 2024; Accepted date: 06 November 2024; Published date: 12 November 2024

Citation: Pan P, Xia YQ, He B, Cao Y. Acute Severe Chest Pain with ST-Segment Elevation in Inferior Leads During Pharmacological Cardioversion of Paroxysmal Supraventricular Tachycardia: A Case Report. Asp Biomed Clin Case Rep. 2024 Nov 12;7(3):288-93.

Copyright © 2024 Pan P, Xia YQ, He B, Cao Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Paroxysmal Supraventricular Tachycardia; Diltiazem; Coronary Spasm-Induced Angina; Coronary Angiography

Abstract

Paroxysmal supraventricular tachycardia (PSVT) is a frequently encountered arrhythmia in emergency departments, significantly affecting cardiac function and hemodynamics. The sudden onset of severe chest pain with accompanying ST-segment elevation on the electrocardiogram (ECG) during pharmacological cardioversion is rare but requires immediate intervention with coronary vasodilators, anticoagulants, and antiplatelet agents. Continuous ECG monitoring and assessment of cardiac biomarkers are essential. In facilities with appropriate resources, urgent coronary angiography is recommended to evaluate coronary anatomy, blood flow, and collateral circulation. Due to the rarity of this presentation, we report this case as a reference for clinical diagnosis and management.