Pseudoinfarction ECG pattern caused by diaphragmatic hernia uniquely resolved by transthoracic echocardiography.

Abstract

A case of pseudoinfarction electrocardiographic pattern caused by diaphragmatic hernia is presented. The transthoracic echocardiographic examination revealed a large hiatal hernia enhanced by contrast injections below the inferior wall causing paradoxical systolic motion. The location of the hernia simulated a pericardial effusion. 

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