Why the study?
Acute myocarditis is often a challenging diagnosis due to a lack of specific signs and can present with severe chest pain and localized ST elevation, misleading the diagnosis toward acute coronary syndrome.
Highlights the critical role of cardiac magnetic resonance imaging in differentiating acute myocarditis from acute coronary syndrome in patients presenting with severe chest pain and ST elevation.
May support CMR to avoid misdiagnosing myocarditis as STEMI; leaves open prospective validation before wider use.
Acute myocarditis is often a challenging diagnosis due to a lack of specific clinical or paraclinical signs. It can be presented by a severe chest pain and localized ST elevation on Electrocardiogram, in rare cases, misleading the diagnosis towards acute coronary syndrome. After routine coronary angiography, a cardiac magnetic resonance imaging is imposed to correct the diagnosis towards acute myocarditis. We report the observation of a 19 year-old Moroccan male admitted to the cardiology department of IBN ROCHD University hospital of Casablanca, for acute myocarditis misdiagnosed initially as an acute myocardial infarction ST elevation and confirmed by cardiac magnetic resonance imaging.
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Talhi et al. (2019) studied this question.
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