Key result
Cardiac MRI accurately diagnosed viral myopericarditis masquerading as acute coronary syndrome by identifying inflammatory infiltrates, edema, and scar in the inferior wall.
Why the study?
Myopericarditis is commonly misdiagnosed as ACS due to similar clinical presentations, making accurate diagnosis critical for ensuring appropriate care.
Case Report (n=1)
No
Cardiac MRI is a crucial diagnostic tool for accurately differentiating viral myopericarditis from acute coronary syndrome in patients presenting with post-viral chest pain and elevated cardiac biomarkers.
Accurate differentiation of myopericarditis from ACS is essential in febrile patients; leaves open standardized diagnostic protocols during outbreaks.
Myopericarditis is commonly misdiagnosed as an acute coronary syndrome (ACS) due to the similarities in clinical presentation. Hence, accurate diagnosis is important to ensure appropriate care and improve outcomes. Here, we present the case of a 58-year-old male initially diagnosed with ACS, which was eventually identified to be a case of myopericarditis and managed accordingly. The patient presented with fever for 1 week during the coronavirus disease pandemic and developed signs of ACS subsequently. Clinical history, biomarker profile, and echocardiogram suggested ACS. However, cardiac magnetic resonance imaging and coronary angiography findings revealed myopericarditis and it was managed accordingly. Clinicians should be aware of myopericarditis masquerading as ACS in the post-viral period.
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P.L.N. kapardhi (2022) conducted a case report in Viral myopericarditis (n=1). Cardiac MRI was evaluated on Diagnostic findings on cardiac MRI. Cardiac MRI accurately diagnosed viral myopericarditis masquerading as acute coronary syndrome by identifying inflammatory infiltrates, edema, and scar in the inferior wall.
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