Key result
Acute viral myocarditis can present atypically with symptoms mimicking acute aortic dissection and inferior myocardial infarction, highlighting the diagnostic utility of cardiac MRI.
Case Report (n=1)
No
Acute viral myocarditis can present atypically with symptoms mimicking acute aortic dissection and ECG changes mimicking inferior myocardial infarction, highlighting the diagnostic utility of cardiac MRI.
Myocarditis can mimic aortic dissection; this case leaves open the need for broader diagnostic algorithms.
We report a case of myocarditis that closely mimicked acute aortic dissection in a young woman. The initial presentation was with sudden onset severe back pain and chest discomfort, associated with bilateral arm paraesthesia. The initial ECG demonstrated inferior ST-segment elevation with reciprocal anterior changes. The diagnosis was facilitated by urgent echocardiography, a CT aortogram and invasive coronary angiography to exclude aortic dissection and myocardial infarction, respectively. Acute myocarditis was later confirmed on cardiac MRI. The patient was treated conservatively with no subsequent arrhythmias with preservation of biventricular function.
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Hammond‐Haley et al. (2019) conducted a case report in Acute myocarditis (n=1). Cardiac magnetic resonance (CMR) and conservative management was evaluated. Acute viral myocarditis can present atypically with symptoms mimicking acute aortic dissection and inferior myocardial infarction, highlighting the diagnostic utility of cardiac MRI.
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