title: Acute myocarditis or the kounis syndrome: role of cardiac MRI and speckle-tracking echocardiography in diagnosis.
abstract: BACKGROUND
  The Kounis syndrome and acute myocarditis are two distinct clinical entities, which could share nearly the same symptomatology as well as ECG (electrocardiography) and laboratory findings.
  
  
  METHODS
  First case was a 39-year-old male presented with acute chest pain and inferolateral ST elevation on ECG. The second case was a 29-year-old male presented with chest pain and diffuses ST elevation. Diagnosis of acute myocarditis was achieved by demonstrating subepicardial contrast enhancement as well as atypical involvement in both of our clinical cases.
  
  
  CONCLUSIONS
  We reported two cases in which specific imaging modalities (cardiac magnetic resonance imaging and speckle-tracking echocardiography) were used when the signs and symptoms were indistinguishable.
authors.affiliation: Department of Cardiology, Faculty of Medicine, University of Medipol, Istanbul, Turkey.
authors.forename: Oguz
authors.initials: O
authors.lastname: Karaca
authors.affiliation: Department of Cardiology, Faculty of Medicine, University of Medipol, Istanbul, Turkey.
authors.forename: Beytullah
authors.initials: B
authors.lastname: Cakal
authors.affiliation: Department of Cardiology, Faculty of Medicine, University of Medipol, Istanbul, Turkey.
authors.forename: Sinem
authors.initials: S
authors.lastname: Deniz Cakal
authors.affiliation: Department of Cardiology, Faculty of Medicine, University of Medipol, Istanbul, Turkey.
authors.forename: Muhsin
authors.initials: M
authors.lastname: Turkmen
keywords: Kounis Syndrome; Magnetic Resonance Imaging, Speckle-Tracking Echocardiography; Myocarditis