A young man with typical STEMI presentation: A case of myocarditis A Cardiac MRI Diagnosis
Abstract
A 19 years old man, originated from Kongo, presented to a hospital with acute chest pain since several hours before admission. The pain was sharp in quality, distributed in the middle of left chest, not exercise related and not radiating. Although there were times in which the patient felt the pain was downgrading, it did not totally fade away. The patient was non-smoker with no risk factors of diabetic, hypertension and dyslipidaemia. He was oriented with temperature of 38.5 C, pulse was 110 tpm, blood pressure was 128/85 mmHg with fast and shallow respiration at the rate of 32 tpm. S1/S2 normal, no additional sound and significant murmur detected. Apart from minimal harsh respiratory sound at the basis of left lung, the examinations of JVP, lung and abdomen were unremarkable. Since 7 days before admission, the patient suffered cough, runny nose and throat pain with feverish but did not seek treatment for it. ECG showed sinus tachycardia with ST-elevation in inferior and anterolateral leads. Elevated cardiac enzymes CKMB 32 and Trop T 1,86.Downloads
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References
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Friedrich MG et al. Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper. J Am Coll Cardiol2009; 53: 1475-87.
Angelini A et al. Myocarditis mimicking acute myocardial infarction: role of endomyocardial biopsy in the differential diagnosis. Heart2000; 84: 245-50.
Chandrasekaran B, Kurbaan AS. Myocardial infarction with angiographically normal coronary arteries. J R Soc Med2002; 95(8): 398-400.
Glover MU, Kuber MT, Warren SE, Vieweg WV. Myocardial infarction before age 36: risk factors and arteriographic analysis. Am J Cardiol1982; 49(7): 1600-3.
Magnani JW, Dec GW. Myocarditis, current trends in diagnosis and treatment. Circulation2006; 113: 876-90.
Batra AS, Lewis AB. Acute myocarditis. Curr Opin Pediatr2001; 13: 234-9.
Laissy JP et al. MRI of acute myocarditis. Chest2002; 122(5): 1638-48.
Magnani JW, Dec GW. Myocarditis, current trends in diagnosis and treatment. Circulation2006; 113: 876-90.
Testani JM, Kolansky DM, Litt H, Gerstendfeld EP. Focal myocarditis mimicking acute ST-elevation myocardial infarction. Tex Heart Inst J2006; 33(2): 256-9.
Friedrich MG, Strohm O, Schulz-Menger J, Marciniak H, Luft FC, Dietz R. Contrast media-enhanced magnetic resonance imaging visualizes myocardial changes in the course of viral myocarditis. Circulation 1998; 97: 1802–1809
Roditi GH, Hartnell GG, Cohen MC. MRI changes in myocarditis: evaluation with spin echo, cine MR angiography and contrast enhanced spin echo imaging. Clin Radiol. 2000;55: 752–758.
Mahrholdt H, Goedecke C, Wagner A, Meinhardt G, Athanasiadis A, Vogelsberg H, Firtz P, Klingel K, Kandolf R, Sechtem U. Cardiovascular magnetic resonance assessment of human myocarditis: a comparison to histology and molecular pathology. Circulation. 2004; 109: 1250–1258.
Friedrich MG et al. Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper. J Am Coll Cardiol2009; 53: 1475-87.
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How to Cite
Handari, S., & Selvanayagam, J. (1). A young man with typical STEMI presentation: A case of myocarditis A Cardiac MRI Diagnosis. Indonesian Journal of Cardiology, 31(1), 58-61. https://doi.org/10.30701/ijc.v31i1.159
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Case Reports
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