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.
- References
- Downloads
- Published
- 31-03-2025
- Section
- Case Reports
- License
-
Copyright (c) 2025 Tunisian Journal of Emergency Medicine

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
THE tjem allows authors to retain unrestricted copyright and full publishing rights of their articles.
All articles published in this journal are openly accessible and licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This guarantees that anyone is free to:
-
Share: Copy and redistribute the material in any medium or format.
-
Adapt: Remix, transform, and build upon the material for any purpose, even commercially.
Under the following terms:
-
Attribution: Users must give appropriate credit to the original author(s) and the journal, provide a link to the license, and indicate if changes were made.
By submitting a manuscript to tjem, authors grant the journal the right of first publication, while retaining full ownership of their intellectual property.
-
How to Cite
Similar Articles
- Dr. Rania Ammar Zayani, Dr.Malek Zribi, Dr. Mabrouk Bahloul, Dr.Chokri Ben Hamida, Knowledge of Medical and Paramedical Staff in the Intensive Care Unit Regarding Medical Confidentiality , Tunisian Journal of Emergency Medicine: Vol. 4 No. 2 (2026): TJEM 2025: Vol.4 Issue 2
- imen REJEB, Spontaneous Pneumomediastinum as UncommonComplications of COVID-19 Pneumonia: 2 casereports and review of literature , Tunisian Journal of Emergency Medicine: Vol. 2 No. 4 (2024): TJEM Vol2 Issue4
- R. Obame, Serious abdominal traumatic emergencies in the emergency department of a “Trauma Center” hospital of Libreville (Gabon): Epidemiological, diagnosis and outcomes aspects: R. Obame 1,2, A. Matsanga A, P.C.1 Nze Obiang 2, V. Sagbo Ada 1, D.P. Tsogho Ndalegna 1 , L. Bitégué Methé 1, T. Keita Oyoua 3, I. Okome ObiangI 1, C. Mba Mba 3, B. Mpiga Mickoto 1, M. Mouguiama 1, N. Ekeghe 1, D. Ada Aissat 1, A. Sima Zué 2 , Tunisian Journal of Emergency Medicine: Vol. 2 No. 3 (2023): TJEM Vol2 Issue3
- Rahma JABALLAH, A new practical score for early diagnosis of appendicitis in the emergency department: Rahma JABALLAH; Hajer YAAKOUBI; Lotfi BOUKADIDA; Rym YOUSSEF; R KADDACHI; H BEN SALAH; Asma ZORGATI; Riadh BOUKEF , Tunisian Journal of Emergency Medicine: Vol. 2 No. 2 (2022): TJEM Vol2 Issue2
- Souayah Ahmed, Acute aortic syndromes in emergency departments: Souayah Ahmed, Chermiti Ines, Ghazali Hanène, Ben Turkia Héla, Chekir Mahbouba, Ngach Monia, Chiboun Sawsen, Souissi Sami , Tunisian Journal of Emergency Medicine: Vol. 2 No. 2 (2022): TJEM Vol2 Issue2
- Hanen GHAZELI, De Winters ST-T syndrome: an early sign of STsegment elevation myocardial infarction (A case report): Hanen Ghazali, Maroua Mabrouk, Morsi Ellouz, Syrine Keskes, Amel Ben Garfa, Monia Ngach, Sami Souissi, Ines Chermiti , Tunisian Journal of Emergency Medicine: Vol. 2 No. 2 (2022): TJEM Vol2 Issue2
- Dr.Rania AMMAR ZAYANI, Dr.Amina Haddad, Dr. Fatma Kolsi , Dr. Mabrouk Bahloul, Chokri Ben Hamida, Suppurative infection of the central nervous system secondary to Streptococcus constellatus: about three cases , Tunisian Journal of Emergency Medicine: Vol. 3 No. 3 (2025): TJEM 2025: Vol.3 Issue 3
- Amina Jebali, Hela Manai, Taycir Kharraz, Samia Arfaoui, Saida Zelfani, Evaluation of non-technical skills among emergency medicine residents in the management of severe trauma: a prospective study using simulation , Tunisian Journal of Emergency Medicine: Vol. 3 No. 3 (2025): TJEM 2025: Vol.3 Issue 3
- wiem ben amar, Management of mass disasters related to the sinking of clandestine immigrants: Wiem BEN AMAR1,2, Hela SIALA1,2, Narjes KARRAY1,2, Fatma DAOUD1,2, Zouhir HAMMAMI 1,2, Malek ZRIBI 1,2, Samir MAATOUG1,2. , Tunisian Journal of Emergency Medicine: Vol. 2 No. 2 (2022): TJEM Vol2 Issue2
- mahmoud ladhar, Zouhour Hadrich, farah bouattour, Chahd Ben Alaya, yosri smeoui, badria moalla, faiza Safi, Knowledge and Practices of Mothers Regarding First Aid in Domestic Accidents: A Cross-Sectional Study in Sfax, Tunisia , Tunisian Journal of Emergency Medicine: Vol. 4 No. 1 (2026): TJEM VOL4 ISSUE1
You may also start an advanced similarity search for this article.
