Key result
Coronary angiography successfully ruled out myocardial infarction in a 25-year-old man presenting with dynamic ST-segment elevation, confirming a diagnosis of acute myocarditis.
Case Report (n=1)
No
Acute myocarditis can present with dynamic ST segment elevation and reciprocal changes on ECG, closely mimicking acute ST-elevation myocardial infarction and potentially misdirecting the diagnostic approach.
Supports urgent angiography to exclude MI in young patients with dynamic ST elevation; extends recognition of myocarditis as STEMI mimic.
Acute myocarditis is a well-recognized but rare manifestation of mostly viral infections. It can present with various clinical manifestations and may mimic myocardial infarction (MI) since patients usually present with chest pain, and the electrocardiographic changes similar to those observed in acute ST-elevation MI. We, herein, present such an extreme case of acute myocarditis characterized by dynamic ST segment elevation with reciprocal changes in the electrocardiogram.
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Yıldırım et al. (2016) conducted a case report in Acute myocarditis (n=1). Coronary angiography and medical therapy was evaluated on Diagnostic confirmation and clinical recovery. Coronary angiography successfully ruled out myocardial infarction in a 25-year-old man presenting with dynamic ST-segment elevation, confirming a diagnosis of acute myocarditis.
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