{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T05:18:43Z","timestamp":1723007923741},"reference-count":11,"publisher":"Grigore T. Popa University of Medicine and Pharmacy","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Clin Cases"],"abstract":"<jats:p>Calcium has a significant effect on cells in the myocardium, affecting conduction, intracellular signaling and contraction of muscle fibers. In fact, calcium levels could affect myocardial action potential and affect heart conduction. Hypocalcemia manifest on ECG with arrythmias or QT prolongation, in some extraordinary cases, it could present with variations in the ST segment, which requires the study of differential diagnoses of cardiac origin, such as acute myocardial infarction with ST elevation (STEMI) or pericarditis. We expose a case of a 28-year-old male patient who arrived at the emergency department with chest pain and was misdiagnosed with STEMI, after a complex process finally it was a severe hypocalcemia mimicking acute myocardial infarction.<\/jats:p>","DOI":"10.22551\/2022.34.0901.10198","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T11:31:47Z","timestamp":1649935907000},"page":"19-23","source":"Crossref","is-referenced-by-count":0,"title":["Acute ST-segment elevation myocardial infarction: to be or not to be?"],"prefix":"10.22551","volume":"9","author":[{"name":"Department of Internal Medicine, Centro Hospitalario Serena del Mar, Cartagena, Colombia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Carolina","family":"Manzur Barbur","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Cristina Mart\u00ednez-\u00c1vila","family":"Mart\u00ednez-\u00c1vila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Internal Medicine, Centro Hospitalario Serena del Mar, Cartagena, Colombia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ang\u00e9lica","family":"Imitola Madero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Division of Endocrinology, Diabetes and Metabolism. Centro Hospitalario Serena del Mar, Colombia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"9837","published-online":{"date-parts":[[2022,1,10]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"\"1. O'gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF\/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013; 61(4):e78-e140. doi:10.1016\/j.jacc.2012.11.019","DOI":"10.1016\/j.jacc.2012.11.019"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Diercks DB, Shumaik GM, Harrigan RA, Brady WJ, Chan TC. Electrocardiographic manifestations: electrolyte abnormalities. J Emerg Med. 2004; 27(2):153-160. doi:10.1016\/j.jemermed.2004.04.006. 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