Letter by Littmann Regarding Article, “Giant J Waves and ST-Segment Elevation Associated With Acute Gastric Distension”
This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
To the Editor:
I read with great interest the case report by Hibbs et al1 on a patient with acute gastric distension in whom the ECG showed prominent J waves and then marked ST-segment elevation in the inferolateral leads. Laboratory and imaging studies were not consistent with myocardial infarction. Resolution of the gastric distension was accompanied by normalization of the ECG. The authors hypothesized that the ECG abnormality likely represented a transient electrophysiologic phenomenon, perhaps from a change in ion channel function.1 I think that a nonelectrophysiological explanation for this curious ECG abnormality is more likely.