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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
  • View Affiliations / Copyright

    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
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 459-464
    |
    Published online on: June 12, 2015
       https://doi.org/10.3892/etm.2015.2576
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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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Copy and paste a formatted citation
Spandidos Publications style
Zhang T, Miao W, Wang S, Wei M, Su G and Li Z: Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature. Exp Ther Med 10: 459-464, 2015.
APA
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. Experimental and Therapeutic Medicine, 10, 459-464. https://doi.org/10.3892/etm.2015.2576
MLA
Zhang, T., Miao, W., Wang, S., Wei, M., Su, G., Li, Z."Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature". Experimental and Therapeutic Medicine 10.2 (2015): 459-464.
Chicago
Zhang, T., Miao, W., Wang, S., Wei, M., Su, G., Li, Z."Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature". Experimental and Therapeutic Medicine 10, no. 2 (2015): 459-464. https://doi.org/10.3892/etm.2015.2576
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang T, Miao W, Wang S, Wei M, Su G and Li Z: Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature. Exp Ther Med 10: 459-464, 2015.
APA
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. Experimental and Therapeutic Medicine, 10, 459-464. https://doi.org/10.3892/etm.2015.2576
MLA
Zhang, T., Miao, W., Wang, S., Wei, M., Su, G., Li, Z."Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature". Experimental and Therapeutic Medicine 10.2 (2015): 459-464.
Chicago
Zhang, T., Miao, W., Wang, S., Wei, M., Su, G., Li, Z."Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature". Experimental and Therapeutic Medicine 10, no. 2 (2015): 459-464. https://doi.org/10.3892/etm.2015.2576
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