Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report
Autor: | Fikret Bildik, Hüseyin Avni Demir, Gültekin Kadı |
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Rok vydání: | 2020 |
Předmět: | |
Zdroj: | Volume: 11, Issue: 4 122-124 Journal of Emergency Medicine Case Reports |
ISSN: | 2149-9934 |
Popis: | Introduction: Myocarditis is an infrequent, possibly life-threatening, and inflammatory myocardial disease with various number of clinical complaints and symptoms, often caused by infectious agents. Case Presentation: A 24‑year‑old male came to the emergency department (ED) with the complaints of angina-like retrosternal chest pain and tightness lasting for three days. The ECG suggesting inferior submural ischaemia and echocardiographic assessment was normal. Laboratory tests showed troponin T levels increased. Coronary angiography was normal. CMRI showed patchy contrast uptake. It looked more like viral myocarditis. Conclusion: Acute myocarditis diagnosis is most difficulty and predictively in connection with the variety of clinical presentations. The differential diagnosis between myocarditis and AMI can be troublesome in ED. |
Databáze: | OpenAIRE |
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