ST elevation without myocardial infarction.
Acute myocarditis may mimic myocardial infarction because the affected patients report 'classical' chest pain; the ECG changes and echocardiography are identical to those observed in acute coronary syndromes, and serum markers are increased. We describe a case with ST segment elevation on admission ECG, and coronary angiography was normal. Cardiac magnetic resonance with myocardial delayed enhancement sequences is a non-invasive alternative for diagnosing myocarditis.
Department of Internal Medicine, KOC Hospital, Fahahil, Kuwait.
Zouheir Ibrahim
ZI
Bitar
Mohammad
M
Swede
Khaled
K
Almerri
D054058:Acute Coronary Syndrome / Q000150:complications / Q000175:diagnosis*; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D053840:Brugada Syndrome; D000075224:Cardiac Conduction System Disease; D002637:Chest Pain / Q000175:diagnosis*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D006329:Heart Conduction System / Q000002:abnormalities*; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D009205:Myocarditis / Q000150:complications / Q000175:diagnosis*