Acute myocarditis should be considered in the differential diagnosis for patients presenting with chest pain, ST elevation, and elevated troponins but normal coronary arteries.
Supports considering myocarditis in ACS mimics with normal coronaries; case report leaves open systematic validation before practice change.
Electrocardiographic changes resembling myocardial ischemia or infarction can be caused by a variety of causes other than ischemia. One of them is acute myocarditis which further confounds clinical judgment by causing elevation in troponins as well. We report a case of myocarditis which underscores the importance of identifying the clinical presentation of acute myocarditis and the electrocardiographic changes that can be associated with it.
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Chokkalingam-Mani et al. (2010) studied this question.
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