Why the study?
Fulminant myocarditis resembles acute coronary syndrome, and failure to obtain complete coronary angiograms due to anatomic variations poses a diagnostic challenge.
Coronary artery anatomic variations can complicate the differential diagnosis between fulminant myocarditis and acute coronary syndrome by preventing complete angiographic imaging.
Highlights the diagnostic challenge of anomalous coronaries when differentiating fulminant myocarditis from acute coronary syndrome;.
Fulminant myocarditis (FM) is a severe disease with a rapidly progressive and life-threatening course caused mainly by viral infection. The symptoms, laboratory findings, and presence of ECG changes resemble acute coronary syndrome. Therefore, coronary angiography is usually helpful in making the appropriate diagnosis. However, failure to obtain complete coronary artery images due to coronary artery anatomic variations poses a challenge for the diagnosis of FM. Here, we report a case of FM preliminarily diagnosed as acute coronary syndrome (ACS) due to the presence of coronary artery anomaly.
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Huang et al. (2021) studied this question.
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