- Journal of Emergency Medicine Case Reports
- Vol: 11 Issue: 4
- Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report
Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report
Authors : Hüseyin Avni Demir, Fikret Bildik, Gultekin Kadi
Pages : 122-124
Doi:10.33706/jemcr.805411
View : 13 | Download : 1
Publication Date : 2020-12-28
Article Type : Other
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 (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