Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature

Zhang,Tao; Miao,Wei; Wang,Shixuan; Wei,Min; Su,Guohai; Li,Zhenhua

doi:10.3892/etm.2015.2576

Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature

Authors:
- Tao Zhang
- Wei Miao
- Shixuan Wang
- Min Wei
- Guohai Su
- Zhenhua Li
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Affiliations: Department of Orthopedics, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China, Department of Cardiology, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China, Beijing University Medical School, Beijing 100191, P.R. China
Published online on: June 12, 2015 https://doi.org/10.3892/etm.2015.2576
Pages: 459-464
Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study describes the case of a young man aged 22 who had acute retrosternal pain, elevated cardiac markers and electrocardiographic ST‑T changes, which led to an original misdiagnosis of acute myocardial infarction. The patient underwent immediate coronary angiography, which revealed normal coronary arteries. Finally, the diagnosis of viral myocarditis was made on consideration of his fever, scattered red dots on his arms and legs and other auxiliary examination results obtained in the following days, which were supportive of the diagnosis. The patient improved on antiviral and myocardial protection therapy and was discharged 2 weeks later. Viral myocarditis is a common disease with a variable natural history. It remains challenging for doctors to differentiate between acute myocarditis and myocardial infarction, particularly in the early stages. A diagnosis of myocarditis should be made on the basis of synthetic evaluation of the evidence, including medical history, clinical presentation and results of the available auxiliary tests, in order to provide guidelines for treatment.

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