ACUTE MYOCARDITIS IN YOUNG AGE MIMICKING AS ST-ELEVATION MYOCARDIAL INFARCTION: CASE REPORT

ACUTE MYOCARDITIS IN YOUNG AGE MIMICKING AS ST-ELEVATION MYOCARDIAL INFARCTION: CASE REPORT

Acute myocarditis remains a diagnostic issue with a wide spectrum of clinical manifestations that could mimic ST-elevation myocardial infarction (STEMI). We present a case of a 26-year-old male with left-sided intense squeezing chest pain associated with elevated troponin, ST-segment elevations, and...

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Veröffentlicht in:Georgian medical news 2024-03 (348), p.6-9
Hauptverfasser: Kyrychenko, A, Tomakh, N, Kornatsky, V, Lysunets, O, Sirenko, O, Kuryata, O
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Adult
Chest Pain - diagnosis
Chest Pain - etiology
Diagnosis, Differential
Electrocardiography
Humans
Magnetic Resonance Imaging
Male
Myocarditis - blood
Myocarditis - diagnosis
Myocarditis - diagnostic imaging
ST Elevation Myocardial Infarction - blood
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - diagnostic imaging
Troponin - blood
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Zusammenfassung:Acute myocarditis remains a diagnostic issue with a wide spectrum of clinical manifestations that could mimic ST-elevation myocardial infarction (STEMI). We present a case of a 26-year-old male with left-sided intense squeezing chest pain associated with elevated troponin, ST-segment elevations, and reduced ejection fraction. The patient was initially suspected of having a STEMI with non-obstructed coronary arteries (MINOCA). However, due to positive pair troponin tests, increased inflammatory markers there was suspected myocarditis and cardiac MRI confirmed this diagnosis. This case highlights the clinical significance of assessment of laboratory markers and cardiac MRI in diagnostics of myocarditis.
ISSN:1512-0112