Abstract
ST-segment changes may provide a clue to the presence of
pneumopericardium accompanying SPM. These EKG changes associated with
SPM are rare. The management in SPM with concurrent pneumopericardium is
mainly supportive. We describe two SP cases with concomitant
pneumopericardium that presented with a deceptive clinical spectrum,
closely mimicking acute pericarditis.
Keywords: Pneumomediastinum, EKG, ST-T wave changes, acute
coronary syndrome, acute pericarditis