Key result
Treatment with aspirin resulted in full recovery of left ventricular function and resolution of symptoms in a patient with post-streptococcal myopericarditis mimicking an acute coronary event.
Case Report (n=1)
No
Cardiac computerized tomography can help differentiate myopericarditis from an acute coronary event in patients presenting with chest pain, ST elevation, and regional wall motion abnormalities.
May support aspirin in post-streptococcal myopericarditis mimicking ACS; hypothesis-generating case report requiring prospective validation.
Myopericarditis is an uncommon medical condition characterized by symptoms and signs of pericarditis with myocardial involvement. The main differential diagnosis is acute coronary event. Chest pain, electrocardiogtaphic changes, elevated cardiac enzymes and regional wall motion abnormality might turn the situation into a state of emergency. Here we describe a patient who presented with all of the above and positive family history of coronary artery disease. He was rushed to the catheterization unit, showing normal coronaries. Cardiac computerized tomography done later showed normal coronaries and pericardial enhancement typical of pericarditis with eventual diagnosis of myopericarditis due to streptococcal tonsillar infection. Patient was eventually treated with aspirin with full recovery of the left ventricular function. J Med Cases. 2014;5(5):262-263 doi: http://dx.doi.org/10.14740/jmc1336w
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Habib (2014) conducted a case report in Myopericarditis (n=1). Aspirin was evaluated on Symptom resolution and left ventricular function recovery. Treatment with aspirin resulted in full recovery of left ventricular function and resolution of symptoms in a patient with post-streptococcal myopericarditis mimicking an acute coronary event.
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