Bewildering ST-Elevation With Wellens' Electrocardiogram Pattern - Is Myocarditis in Your Differentials?
| Autor: | Hussain A; Acute Medicine, Pinderfields General Hospital, Wakefield, GBR., Iqbal M; Respiratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR., Mohsin G; Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR., Mirza HA; Acute Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR., Butt MT; Acute Medicine, Pinferfields General Hospital, Wakefield, GBR. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Jan 29; Vol. 13 (1), pp. e12983. Date of Electronic Publication: 2021 Jan 29. |
| DOI: | 10.7759/cureus.12983 |
| Abstrakt: | Myocarditis is the inflammation of the myocardium and is a challenging diagnosis owing to the heterogeneity in its etiology, pathogenesis and clinical presentations. It often presents as an acute coronary syndrome (ACS) mimic and hence may pose both diagnostic and therapeutic challenges to treating physicians to reliably differentiate between these two entities. In this case, we discuss a young male whose initial presentation of chest pain was dubious of the acute coronary syndrome but detailed history, physical examination and by careful selection of non-invasive investigations including echo and cardiac magnetic resonance imaging (MRI), led to a diagnosis of acute myocarditis. This approach not only avoided undue radiation exposure to a young individual but also eluded the unnecessary treatment with potent antiplatelet and anticoagulation therapy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Hussain et al.) |
| Databáze: | MEDLINE |
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