Acute myocarditis manifested by signs of ST - elevation acute coronary syndrome
DOI:
https://doi.org/10.14739/2310-1210.2019.3.169216Keywords:
clinical case, myocarditis, ST-segment elevation, acute coronary syndromeAbstract
Purpose – to share the experience of differential diagnosis and monitoring of patient with acute myocarditis that caused acute chest pain and persistent ST-segment elevation on electrocardiogram.
Materials and methods. Diagnosis and treatment of patient with acute chest pain and persistent ST-segment elevation was performed according to the protocols of the Health Ministry of Ukraine for the diagnosis and treatment of cardiovascular diseases.
Results. The article describes a case of the acute myocarditis in 33-year-old female with acute chest pain combined with ST-segment elevation on electrocardiogram and a rise in serum cardiac enzymes. The main data of anamnesis, objective, laboratory and instrumental examination of patient, 6-month follow-up results are presented.
Conclusions. The success of therapy and prognosis depends on timely diagnosis of the disease. A definitive diagnosis should be established taking into consideration clinical manifestations, anamnesis, ECG, laboratory tests, coronary angiography and dynamic patient monitoring results.
References
Ibanez, B., James, S., Agewall, S., Antunes, M. J., Bucciarelli-Ducci, C., Bueno, H. et al. (2018) 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology. European Heart Journal, 39(2), 119–177.
Andersson, H. B., Pedersen, F., Engstrom, T., Helqvist, S., Jensen, M. K., Jorgensen, E., et al. (2018) Long-term survival and causes of death in patients with ST-elevation acute coronary syndrome without obstructive coronary artery disease. European Heart Journal, 39(2), 102–110. doi: 10.1093/eurheartj/ehx491
Cooper, L.T. (2009) Myocarditis. N. Engl. J. Med., 360(15), 1526–1538. doi: 10.1056/NEJMra0800028
Coppola, G., Carità, P., Corrado, E., Borrelli, A., Rotolo, A., Guglielmo, M., et al. (2013) Italian Study Group of Cardiovascular Emergencies of the Italian Society of Cardiology. ST segment elevations: always a marker of acute myocardial infarction? Indian Heart J., 65(4), 412–23. doi: 10.1016/j.ihj.2013.06.013
Friedrich, M. G., Sechtem, U., Schulz-Menger, J., Holmvang, G., Alakija, P., Cooper, L. T., et al. (2009) International Consensus Group on Cardiovascular Magnetic Resonance in Myocarditis. Cardiovascular magnetic resonance in myocarditis: A JACC White Paper. J. Am. Coll. Cardiol., 53(17), 1475–1487. doi: 10.1016/j.jacc.2009.02.007
Gu, Y. L., Svilaas, T., van der Horst, I. C. C., & Zijlstra, F. (2008) Conditions mimicking acute ST-segment elevation myocardial infarction in patients referred for primary percutaneous coronary intervention. Netherlands Heart Journal, 16(10), 325–331. doi: 10.1007/BF03086173
Hufnagel, G., Pankuweit, S., Richter, A., Schönian, U., & Maisch, B. (2000) The European Study of Epidemiology and Treatment of Cardiac Inflammatory Diseases (ESETCID): first epidemiological results. Herz, 25(3), 279–285. doi: 10.1007/s000590050021
Park, I., Kim, Y., Ahn, S., Sohn, C., Seo, D., & Kim, W. (2015) Subarachnoid hemorrhage mimicking ST-segment elevation myocardial infarction after return of spontaneous circulation. Clinical and Experimental Emergency Medicine, 2(4), 260–263. doi: 10.15441/ceem.15.012
Schweitzer, P. (1990) The electrocardiographic diagnosis of acute myocardial infarction in the thrombolytic era. Am. Heart J., 119, 642–654. doi: 10.1016/S0002-8703(05)80288-1
Upadhyay, A., Chauhan, S., Jangda, U., Bodar, V., & Al-Chalabi, A. A. (2017) Reversible Inferolateral ST-Segment Elevation Associated with Small Bowel Obstruction Case Reports in Medicine, 2017, 5982910. doi: 10.1155/2017/5982910
Wang, K., Asinger, R. W., & Marriott, H. J. (2003) ST-segment elevation in conditions other than acute myocardial infarction. N. Engl. J. Med., 349(22), 2128–35. doi: 10.1056/NEJMra022580
Zhang, T., Miao, W., Wang, S., Wei, M., Su, G., & Li, Z. (2015) Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature. Exp. Ther. Med., 10(2), 459–464. doi: 10.3892/etm.2015.2576
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