Key result
A 21-year-old male presenting with acute chest pain and ECG findings of inferior ST elevation with reciprocal lateral ST depression was diagnosed with myopericarditis after normal coronary angiography.
Why the study?
Although electrocardiographic findings of acute myocardial infarction and acute myocarditis are generally different, the two diseases can rarely mimic each other.
Case Report (n=1)
No
Acute myocarditis can rarely mimic acute myocardial infarction with inferior ST-segment elevation and reciprocal ST depression on electrocardiography.
Myopericarditis may mimic inferior STEMI with reciprocal changes in young adults; leaves open refined ECG differentials before routine angiography.
In patients admitting to the emergency department with chest pain and ST-segment elevation, the first diagnosis to be considered is acute myocardial infarction. Urgent differential diagnosis and immediately referral to catheter laboratory to perform coronary angiography is life-saving. The electrocardiography is a vital tool in the differential diagnosis of chest pain. Although the electrocardiographic findings of acute myocardial infarction and acute myocarditis are generally different, rarely two diseases can mimic each other. We presented a 21-year-old male patient who had admitted our emergency with acute typical chest pain and ST-segment elevation in D2, D3, AVF leads accompanying with reciprocal ST depression in DI and AVL leads.
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Yaman et al. (2019) conducted a case report in Myopericarditis (n=1). Myopericarditis was evaluated on Final diagnosis. A 21-year-old male presenting with acute chest pain and ECG findings of inferior ST elevation with reciprocal lateral ST depression was diagnosed with myopericarditis after normal coronary angiography.
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