To Be or Not to Be … Acute Coronary Syndrome
| Autor: | Șerban Răzvan Constantin, Pintilie Irina, Scridon Alina |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome business.industry cardiac magnetic resonance imaging food and beverages acute myocardial infarction 030229 sport sciences 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Cardiology Medicine myocarditis General Pharmacology Toxicology and Pharmaceutics business General Dentistry |
| Zdroj: | Acta Medica Marisiensis, Vol 62, Iss 3, Pp 363-367 (2016) |
| ISSN: | 2247-6113 |
| DOI: | 10.1515/amma-2016-0029 |
| Popis: | Introduction: The association between ST segment abnormalities, elevated cardiac enzymes, and chest pain is usually a marker of acute coronary injury. However, certain other pathologies can sometimes mimic acute coronary syndromes. Case report: A 40-year-old Caucasian male, former smoker, with no other cardiovascular risk factors, presented to the Emergency Department for typical ischemic, prolonged chest pain. The ECG demonstrated inverted T waves in leads I, II, aVL, and V3 to V6. The patient presented high cardiac necrosis markers (troponin I 2.65 ng/ml). Based on these findings, the case was interpreted as non-ST segment elevation myocardial infarction, but coronary angiography excluded the presence of significant coronary lesions. The ventriculography showed an efficient left ventricle, with mild hypokinesia of the two apical thirds of the anterior left ventricular wall. Cardiac magnetic resonance imaging demonstrated areas of hypersignal on the T2-weighted imaging sequence in the left ventricular myocardium, suggestive for acute myocarditis. The patient was started on antiplatelet, beta-blocker, and angiotensin converting enzyme inhibitor, with favorable evolution. Conclusion: This case underlines the polymorphic appearance of acute myocarditis, which can often mimic an acute coronary event. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|