Tunisian Journal of Emergency Medicine

Atrial flutter mimicking ST-elevation myocardial infarction: A case report

Authors
  • Haifa BRADAÏ

  • Rabeb Mbarek

  • Sondes Laajimi

  • Dorra Loghmari

  • Mounir NAIJA

Keywords:
Atrial flutter, Myocardial infarction, Diagnosis, Management, Prehospital
Abstract

The diagnosis of acute ST-segment elevation myocardial infarction (STEMI) is crucial in the emergency department for the rapid initiation of reperfusion therapy. However, many situations of non-coronary obstruction can mimic the ECG findings of a STEMI. These features are confused with myocardial infarction (MI) on the 12-lead ECG and lead to inappropriate activation of catheterization labs or thrombolytic therapy. In this report, we describe a case of STEMI mimicry produced by prominent atrial flutter waves.

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Published
31-03-2025
Section
Case Reports
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How to Cite

Atrial flutter mimicking ST-elevation myocardial infarction: A case report. (2025). Tunisian Journal of Emergency Medicine, 3(1). https://tjem.tn/index.php/tjem/article/view/83