Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report

Authors : Hüseyin Avni DEMİR, Fikret BİLDİK, Gultekin KADİ

Pages : 122-124

Doi:10.33706/jemcr.805411

View : 21 | Download : 5

Publication Date : 2020-12-28

Article Type : Other Papers

Abstract :Introduction: Myocarditis is an infrequent, possibly life-threatening, and inflammatory myocardial disease with various number of clinical complaints and symptoms, often caused by infectious agents. Case Presentation: A 24‑year‑old male came to the emergency department insert ignore into journalissuearticles values(ED); with the complaints of angina-like retrosternal chest pain and tightness lasting for three days. The ECG suggesting inferior submural ischaemia and echocardiographic assessment was normal. Laboratory tests showed troponin T levels increased. Coronary angiography was normal. CMRI showed patchy contrast uptake. It looked more like viral myocarditis. Conclusion: Acute myocarditis diagnosis is most difficulty and predictively in connection with the variety of clinical presentations. The differential diagnosis between myocarditis and AMI can be troublesome in ED.
Keywords : angina pectoris, endomyocardial biopsy, ischaemia, myocarditis