title: Acute myocarditis mimicking ST-elevation myocardial infarction: A case report and review of the literature.
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.
authors.affiliation: Department of Orthopedics, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China.
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.affiliation: Department of Cardiology, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Miao
authors.affiliation: Beijing University Medical School, Beijing 100191, P.R. China.
authors.forename: Shixuan
authors.initials: S
authors.lastname: Wang
authors.affiliation: Department of Cardiology, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China.
authors.forename: Min
authors.initials: M
authors.lastname: Wei
authors.affiliation: Department of Cardiology, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China.
authors.forename: Guohai
authors.initials: G
authors.lastname: Su
authors.affiliation: Department of Cardiology, Jinan Central Hospital, Jinan, Shandong 250013, P.R. China.
authors.forename: Zhenhua
authors.initials: Z
authors.lastname: Li
keywords: ST-elevation; coronary angiography; myocardial infarction; viral myocarditis