Highlights the importance of carefully differentiating acute myocarditis from acute myocardial infarction using ECG and other clinical tools to guide appropriate management.
ECG interpretation in young adults requires myocarditis in the STEMI differential; this case leaves open optimal noninvasive differentiation strategies.
The first diagnosis in patients with chest pain and ST segment elevation is acute myocardial infarction. But acute myocardial infarction sometimes can be confused with other diseases such as myocarditis. Discrimination of acute myocardial infarction and acute myocarditis can be made by history, physical examination, electrocardiography, echocardiography and cardiac-specific enzymes. The treatment and prognosis of those two diseases are completely different. The differential diagnosis and decision of coronary angiography is lifesaving. Electrocardiography is very important in the differentiation of these two diseases. Although ECG findings are different, acute myocarditis and acute myocardial infarction sometimes imitate each other. 22 years old male patient diagnosed as myocarditis and focal ST elevation with reciprocal ST depression presented in this case.
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Günaydın et al. (2015) studied this question.
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