Acute myocarditis mimicking ST-elevation myocardial infarction: A diagnostic challenge for frontline clinicians
The Medical Journal of Malaysia
;
: 561-563, 2019.
Article
in English
| WPRIM
| ID: wpr-825366
ABSTRACT
@#The clinical presentation of acute myocarditis is highly variable ranging from no symptoms to cardiogenic shock. Despite considerable progress, it remains a challenge for frontline physicians to discriminate between acute myocarditis and myocardial infarction, especially in the early phase. Our case serves as a reminder that acute presentation of myocarditis could resemble ST elevation myocardial infarction potentially misdirecting the therapeutic decision. The clinical presentation, electrocardiographic and laboratory findings of the patient are not specific enough to distinguish acute myocarditis from myocardial infarction. The gold standard tests such coronary angiography and cardiovascular magnetic resonance (CMR) can reliably differentiate the two entities.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Diagnostic study
/
Prognostic study
Language:
English
Journal:
The Medical Journal of Malaysia
Year:
2019
Type:
Article
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