Myocarditis mimicking acute myocardial infarction

Nierop, Josephine van; Limburg, Alexander; Ofwegen-Hanekamp, Clara E.E. van

doi:10.1007/s12471-015-0732-3

Cited by 2 publications

(4 citation statements)

References 6 publications

(10 reference statements)

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“… 1 , 8 , 9 Also, it may clinically resemble myocardial infarction. 1 , 2 , 10 The differential diagnosis between acute myocarditis and acute myocardial infarction can be very challenging and sometimes indistinguishable in children. 11 …”

Section: Discussionmentioning

confidence: 99%

“…However, due to its invasiveness with a high risk of complications and the possibility of false negative results, it is not often performed in common practice. 10 , 14 MRI is a good diagnostic tool and when the “Lake Louise Criteria” 14 are applied, the sensitivity and specificity of MRI prove to be high compared to endomyocardial biopsy. 15 A correct diagnosis of myocarditis has significant therapeutic implications for patients, and non-realization of MRI can be criticized in this case.…”

Section: Discussionmentioning

confidence: 99%

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Infant acute myocarditis mimicking acute myocardial infarction

Jedidi

Tilouche

Masmoudi

et al. 2016

ACR

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Myocarditis is an inflammatory disease of the myocardium with heterogeneous clinical manifestations and progression. In clinical practice, although there are many methods of diagnosis of acute myocarditis, the diagnosis remains an embarrassing dilemma for clinicians. The authors report the case of 9-month-old infant who was brought to the Pediatric Emergency Department with sudden onset dyspnea. Examination disclosed heart failure and resuscitation was undertaken. The electrocardiogram showed an ST segment elevation in the anterolateral leads with a mirror image. Cardiac enzyme tests revealed a significant elevation of troponin and creatine phosphokinase levels. A diagnosis of acute myocardial infarction was made, and heparin therapy was prescribed. The infant died on the third day after admission with cardiogenic shock. The autopsy showed dilatation of the ventricles and massive edema of the lungs. Histological examinations of myocardium samples revealed the presence of a marked lymphocytic infiltrate dissociating myocardiocytes. Death was attributed to acute myocarditis. The authors call attention to the difficulties of differential diagnosis between acute myocarditis and acute myocardial infarction especially in children, and to the important therapeutic implications of a correct diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Infant acute myocarditis mimicking acute myocardial infarction

Jedidi

Tilouche

Masmoudi

et al. 2016

ACR

View full text Add to dashboard Cite

show abstract

“…КЛИНИЧЕСКИЕ РЕКОМЕНДАЦИИ [60][61][62]. При отсутствии коронарной патологии резко возрастает вероятность наличия мио кардита, перикардита или, с учетом продолжительности, выраженности и локализации болевого синдрома -расслаивающей аневризмы аорты [63,64]. В случае диагностики острого миокардита важно помнить, что клиническая картина с доминирующим болевым синдромом типична для парвовируса В19.…”

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“…Максимально раннее проведение коронароангиографии или МРТ, бесспорно, решит эту проблему [61,62]. При невозможности выполнения этих диагностических процедур ряд авторов [63] предлагает оценивать динамику снижения уровня тропонина. В большинстве случаев для миокардитов, в отличие от ОКС, характерно замедленное снижение уровня тропонина, что позволяет ретроспективно высказаться о вероятности мио кардита.…”

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