Key result
In a 24-year-old male presenting with symptoms and signs mimicking acute myocardial infarction, cardiac magnetic resonance imaging successfully confirmed the diagnosis of focal myocarditis.
Case Report (n=1)
CMRI is a crucial diagnostic tool for differentiating acute myocarditis from acute myocardial infarction in young patients presenting with angina-like chest pain and elevated cardiac biomarkers.
Myocarditis should be considered in young adults with ischemic ECG changes and normal echo; this case leaves open broader diagnostic validation.
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.
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DEMİR et al. (2020) conducted a case report in Focal myocarditis (n=1). Cardiac magnetic resonance imaging (CMRI) was evaluated. In a 24-year-old male presenting with symptoms and signs mimicking acute myocardial infarction, cardiac magnetic resonance imaging successfully confirmed the diagnosis of focal myocarditis.
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