Aim is to describe a case series of peculiar myocarditis.
Physicians should take into consideration several lines of evidence, such as clinical presentation, ECG alterations and cardiac enzyme changes, … Myocarditis Masquerading as a ST Elevation Myocardial Infarction (STEMI) - VeryLinks Myocarditis is often misdiagnosed--with sometimes fatal consequences--as in this patient who presented with an apparent ST elevation MI. Our patient had minimal ST-segment elevation on his initial ECG that seemed to resolve on the … Sinus tachycardia with non-specific ST segment changes; Example 2. Patients who suffered poorer prognosis tended to have major conduction defects or ventricular arrhythmias more … Acute myocarditis may mimic ST-Elevation Myocardial Infarction (STEMI), and its identification may have important therapeutic and prognostic implications . For example, inferior STEMI causes ST elevations in leads II, III and aVF. We present the case of a 43-year-old man hospitalized with chest pain that was initially diagnosed as an acute ST-elevation myocardial infarction. Although clinical COVID-19 cases with myocardial injury and normal coronary arteries have been reported and thought to be caused by myocarditis, here we show for the first time that ST-segment–elevation myocardial infarction may be caused by extensive microvascular thrombosis in the absence of epicardial coronary obstruction. Pericarditis; LITFL Further Reading . He presented with chest pain and the EKG changes were consistent with infero-laeral ST-segment elevation MI. This case emphasizes the importance of a focused history in the initial evaluation of chest pain.We use cookies to help provide and enhance our service and tailor content and ads. Coronary angiogram revealed smooth arteries with no obstruction. A history of recent viral illness, absence of cardiac risk factors, or ECG findings inconsistent with a single anatomic lesion would suggest a potential alternate diagnosis to STEMI. Die Hebung der ST-Strecke kann auf folgende Erkrankungen hinweisen: frischer Myokardinfarkt; Prinzmetal-Angina; Herzwandaneurysma; Perikarditis; Brugada-Syndrom; Kounis-Syndrom; Zu einer scheinbaren ST-Hebung kommt es bei Hyperkalzämie und Vagotonie. A larger series of autopsy cases from patients with COVID-19 with …
Furthermore, when a coronary angiogram reveals no significant disease, differential diagnosis can be challenging. Aim is to describe a case series of peculiar myocarditis. ScienceDirect ® is a registered trademark of Elsevier B.V.Myocarditis with ST-Elevation Myocardial Infarction presentation in young man. This case exhibits the use of cardiac magnetic resonance imaging for diagnosis in such scenarios as often if the angiogram is normal other differential diagnosis are often speculated without actual evidenceWe use cookies to help provide and enhance our service and tailor content and ads. Further evaluation confirmed that his chief complaint was … From 1997 to 2003, 11 male patients (age 17–39 years) were admitted with diagnosis of acute myocardial infarction, localized ST segment elevation and minimal enzyme release.
By continuing you agree to the Copyright © 2020 Elsevier B.V. or its licensors or contributors. A case series of 11 patientsCopyright © 2004 Elsevier Ireland Ltd. All rights reserved.ScienceDirect ® is a registered trademark of Elsevier B.V. Cardiac magnetic resonance imaging was later performed and showed epicardial delayed enhancement consistent with myocarditis. We present a case of a 29-year-old man with three episodes of myocarditis over 3 months including evidence of progressive, patchy inflammation shown by cardiovascular magnetic resonance imaging. Ten patients had fever in the 3 days prior to admission. It has been found that group A streptococcus may be responsible for more cases of infection-induced acute myocarditis than previously thought, and often without the clinical features of rheumatic fever.
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