Key result
Influenza A H1N1 infection is linked to acute myocarditis presenting with inferolateral ST elevation.
This case report describes a patient with H1N1 influenza who developed severe myocarditis mimicking ST-elevation myocardial infarction.
May prompt myocarditis evaluation in H1N1 with ST elevation; hypothesis-generating and leaves incidence and screening needs open.
A 47-year-old woman was admitted with flu-like symptoms and dyspnoea, needing admission to intensive care. Having tested positive for H1N1 virus on nasal swab, she received a course of oseltamivir. Two days later, while still being ventilated, she developed ST elevation in inferolateral leads on ECG (panel A) with raised troponin I of 95 μg/l (normal <0.07). Due to her …
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Khambekar et al. (2011) studied this question. Influenza A (H1N1) infection was associated with acute myocarditis, presenting with inferolateral ST elevation and markedly raised troponin I (95 μg/l) in a 47-year-old woman.
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