Key result
Acute myocarditis can mimic ST-elevation myocardial infarction in young adults, emphasizing the importance of cardiac MRI for definitive diagnosis.
Why the study?
ST elevation myocardial infarction is rare in young adults, making it important to recognize mimickers such as acute myocarditis that present with typical chest pain, identical ECG changes, and elevated biomarkers.
Case Report (n=1)
Cardiac MRI is a crucial non-invasive imaging modality for differentiating acute myocarditis from STEMI in young patients presenting with typical chest pain and ST elevation.
May prompt cardiac MRI consideration in young adults with STEMI-like presentations; hypothesis-generating, should not yet change practice.
We herein describe a case of acute myocarditis which may mimic myocardial infarction, since affected patients experience 'typical' chest pain, the ECG changes are identical to those observed in acute coronary syndromes, and serum markers are increased. This case emphasises the importance of performing appropriate cardiac MRI to help in the differential and definitive diagnosis as well as the extent of myocardial involvement. ST elevation myocardial infarction is rare in young adults and when it is encountered, it should raise the differential diagnosis of its mimickers.
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Lee et al. (2019) conducted a case report in Acute myocarditis mimicking ST-elevation myocardial infarction (n=1). Acute myocarditis can mimic ST-elevation myocardial infarction in young adults, emphasizing the importance of cardiac MRI for definitive diagnosis.
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