Why the study?
Acute myocarditis is a recognized cause of ST elevation, but cases presenting with transient ST elevation in a specific coronary territory had not been reported.
Acute myocarditis can present as transient ST elevation in a specific coronary territory, mimicking STEMI.
Clinicians may consider myocarditis in STEMI mimics with normal coronaries; leaves open need for prospective differentiation studies.
Chest pain from myocarditis may resemble typical angina and may be accompanied by ECG changes including ST segment elevation. Acute myocarditis is a known cause of ST elevation but there are no reported cases of acute myocarditis presenting as transient ST elevation in a specific coronary territory. We report the case of a young male who presented as STEMI but his coronary angiogram was normal and ST elevation settled down immediately after coronary angiography. Hence, a high index of suspicion in an appropriate clinical setting can avoid inadvertent coronary angiography or thrombolysis in these patients.
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Ishtiyaq Masood (2025) studied this question.
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