Author: Peter Bakes, MD

Educational Pearls:

• Pericarditis, LBBB, LVH and left ventricular aneurysms can all present with ST elevation.

• Ventricular aneurysm will present days after a cardiac event with ST elevation and Q waves in the affected leads.

• Ventricular aneurysms may cause papillary muscle dysfunction with a resultant holosystolic murmur and even heart failure.

References

Victor F. Froelicher; Jonathan Myers (2006). Exercise and the heart. Elsevier Health Sciences. pp. 138–. ISBN 978-1-4160-0311-3.

Nagle RE, Williams DO. (1974) Proceedings: Natural history of ventricular aneurysm without surgical treatment. British Heart Journal, 36:1037.