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Case Reports
Dynamic electrocardiographic changes due to cardiac compression by a giant hiatal hernia.
- Jun Hokamaki, Hiroaki Kawano, Shinzo Miyamoto, Seigo Sugiyama, Ryuichiro Fukushima, Tomohiro Sakamoto, Michihiro Yoshimura, and Hisao Ogawa.
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556.
- Intern. Med. 2005 Feb 1;44(2):136-40.
AbstractA 79-year-old woman was admitted due to chest pain with T wave inversion and anasarca. Echocardiography demonstrated a mass compressing the heart and computed tomography revealed a giant hiatal hernia within the intrathoracic stomach located just behind the heart. After drainage of the gastric contents, the T wave inversion disappeared, but subsequent ST elevation in leads V1-V6 was noted. After surgical correction of the hiatal hernia, the ST segment elevation returned to a nearly normal level. The changes in the compressed heart induced by hiatal hernia may cause pericarditis resulting in electrocardiographic changes.
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