What is the clinical evidence from this study?

Study design: Case Report. Population: Clinically suspected myocarditis with pseudoinfarct presentation (n=1).

What question did this study set out to answer?

The study aims to evaluate the case of myocarditis presenting as a myocardial infarction with subsequent complications.

January 17, 2018BMJ Case ReportsOpen Access

‘Clinically suspected myocarditis with pseudoinfarct presentation’ complicated with left ventricular aneurysm

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Key result

A 51-year-old man with clinically suspected myocarditis with pseudoinfarct presentation developed an unusual complication of an apical transmural scar with aneurysm within 2 weeks.

Population

51-year-old man presenting with clinically suspected myocarditis with pseudoinfarct presentation

Design

Case_report

Follow-up

7 years

Authors

AHAnnick HaouziCleveland Clinic AAAhmed AhmedAin Shams University

Discussion

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Implication

Apical aneurysm can form rapidly in acute myocarditis; leaves open its incidence and need for serial imaging in larger cohorts.

Key Points

The study aims to evaluate the case of myocarditis presenting as a myocardial infarction with subsequent complications.
Patient evaluation included TTE, coronary angiogram, and cardiac MR imaging.
Short-term outcomes were monitored over a two-week period.
Long-term follow-up was conducted seven years post initial presentation.
The patient developed an apical transmural scar and aneurysm within two weeks of initial diagnosis.
At seven years, the patient remained asymptomatic with persistent Q waves and an apical aneurysm visible on TTE.
The occurrence of transmural myocardial necrosis and aneurysm is highlighted as an unusual complication of acute myocarditis.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 51-year-old man with clinically suspected myocarditis with pseudoinfarct presentation followed for 7 years.

Outcome

Development of left ventricular aneurysm

Highlights that transmural myocardial necrosis with aneurysm can be an unusual complication of acute myocarditis.

Cite This Study

Haouzi et al. (2018) conducted a case report in Clinically suspected myocarditis with pseudoinfarct presentation (n=1). A 51-year-old man with clinically suspected myocarditis with pseudoinfarct presentation developed an unusual complication of an apical transmural scar with aneurysm within 2 weeks.

synapsesocial.com/papers/6a21e83201f4dd1671e212af https://doi.org/10.1136/bcr-2017-222114

Topics

Myocarditis STEMI management Echocardiography

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‘Clinically suspected myocarditis with pseudoinfarct presentation’ complicated with left ventricular aneurysm

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Topics

‘Clinically suspected myocarditis with pseudoinfarct presentation’ complicated with left ventricular aneurysm

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Cite This Study

Also Consider

Topics

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