Acute myocarditis manifested by signs of ST - elevation acute coronary syndrome

Authors

  • H. P. Verezhnikova Heart Institute of the Ministry of Health of Ukraine, Kyiv,
  • A. H. Hul Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine,
  • N. O. Lifantieva Heart Institute of the Ministry of Health of Ukraine, Kyiv,
  • O. Yo. Zharinov Heart Institute of the Ministry of Health of Ukraine, Kyiv,

DOI:

https://doi.org/10.14739/2310-1210.2019.3.169216

Keywords:

clinical case, myocarditis, ST-segment elevation, acute coronary syndrome

Abstract

 

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

Downloads

How to Cite

1.
Verezhnikova HP, Hul AH, Lifantieva NO, Zharinov OY. Acute myocarditis manifested by signs of ST - elevation acute coronary syndrome. Zaporozhye Medical Journal [Internet]. 2019May31 [cited 2024Dec.25];(3). Available from: http://zmj.zsmu.edu.ua/article/view/169216

Issue

No. 3 (2019)

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  Лицензия Creative Commons
    2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
    3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)