| Title | Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature |
| Authors | Zhang, Tao Miao, Wei Wang, Shixuan Wei, Min Su, Guohai Li, Zhenhua |
| Affiliation | Jinan Cent Hosp, Dept Orthoped, Jinan 250013, Shandong, Peoples R China. Jinan Cent Hosp, Dept Cardiol, Jinan 250013, Shandong, Peoples R China. Beijing Univ, Sch Med, Beijing 100191, Peoples R China. Jinan Cent Hosp, Dept Cardiol, 105 Jiefang Rd, Jinan 250013, Shandong, Peoples R China. |
| Keywords | viral myocarditis myocardial infarction ST-elevation coronary angiography VIRAL MYOCARDITIS IMMUNOSUPPRESSIVE THERAPY DILATED CARDIOMYOPATHY FULMINANT MYOCARDITIS MAGNETIC-RESONANCE DIAGNOSIS VIRUS MANAGEMENT INFECTION DISEASE |
| Issue Date | 2015 |
| Publisher | EXPERIMENTAL AND THERAPEUTIC MEDICINE |
| Citation | EXPERIMENTAL AND THERAPEUTIC MEDICINE.2015,10,(2),459-464. |
| Abstract | The present study describes the case of a young man aged 22 who had acute retrosternal pain, elevated cardiac markers and electrocardiographic ST-T changes, which led to an original misdiagnosis of acute myocardial infarction. The patient underwent immediate coronary angiography, which revealed normal coronary arteries. Finally, the diagnosis of viral myocarditis was made on consideration of his fever, scattered red dots on his arms and legs and other auxiliary examination results obtained in the following days, which were supportive of the diagnosis. The patient improved on antiviral and myocardial protection therapy and was discharged 2 weeks later. Viral myocarditis is a common disease with a variable natural history. It remains challenging for doctors to differentiate between acute myocarditis and myocardial infarction, particularly in the early stages. A diagnosis of myocarditis should be made on the basis of synthetic evaluation of the evidence, including medical history, clinical presentation and results of the available auxiliary tests, in order to provide guidelines for treatment. |
| URI | http://hdl.handle.net/20.500.11897/423159 |
| ISSN | 1792-0981 |
| DOI | 10.3892/etm.2015.2576 |
| Indexed | SCI(E) |
| Appears in Collections: | 待认领 |
