Myocarditis Presenting as Typical Acute Myocardial Infarction: A case Report and Review of the Literature – DocWire News

BACKGROUND:

Myocarditis refers to a variety ofmyocardialinflammatory lesions. A variety of factors such as infection and physical and chemical factors can cause myocarditis. Depending on the severity ofmyocardialdamage, myocarditis patients can manifest heart failure, cardiogenic shock, and even sudden death. Here we present a case of viral myocarditis that mimicked acute coronary syndrome.

A middle-aged male patient presented with chest pain and elevated troponin I after a flu-like infection. This patient had a history of hypertension and a habit of alcohol and tobacco use. Electrocardiography showed typical changes in acutemyocardial infarction, with the T-wave increasing. Coronary angiogram revealed no stenosis. Cardiac magnetic resonance imaging revealed edema of the middle and apical septal and apical anterior walls on T2-weighted images and the T1 mapping. Late gadolinium enhancement of the middle and apical septal and apical anterior walls could be found. Rubella virus immunoglobulin G and immunoglobulin M antibodies were abnormally elevated. The patient was given antiviral and antibiotic treatments, and serum biomarkers and electrocardiograph returned to normal after 5 d of treatment. After one-year follow-up, the patient showed no symptoms, and cardiac magnetic resonance showed thatmyocardialthickness was significantly thinner than before, and fibrosis was less than before.

This case illustrates the utility of cardiac magnetic resonance for diagnosis ofinfarction-like myocarditis when the angiogram is normal.

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Myocarditis Presenting as Typical Acute Myocardial Infarction: A case Report and Review of the Literature - DocWire News