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

  1. 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.
  2. 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
  3. Cooper, L.T. (2009) Myocarditis. N. Engl. J. Med., 360(15), 1526–1538. doi: 10.1056/NEJMra0800028
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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 2026May15];21(3). Available from: https://zmj.zsmu.edu.ua/article/view/169216

Issue

Vol. 21 No. 3 (2019)

Section

Case Reports

License

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

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