ST elevation without myocardial infarction

Zouheir Ibrahim Bitar 1, Mohammad Swede, Khaled Almerri

Affiliations

07 April 2014

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doi: 10.1136/bcr-2013-201160

Abstract

Acute myocarditis may mimic myocardial infarction because the affected patients report 'classical' chest pain; the ECG changes and echocardiography are identical to those observed in acute coronary syndromes, and serum markers are increased. We describe a case with ST segment elevation on admission ECG, and coronary angiography was normal. Cardiac magnetic resonance with myocardial delayed enhancement sequences is a non-invasive alternative for diagnosing myocarditis.

Figures

Figure 1 ECG on admission.

Figure 1 ECG on admission.

Figure 2 ECG 24 h after admission.

Figure 2 ECG 24 h after admission.

Figure 3 Four-chamber cardiac magnetic resonance with subepicardial delay enhancement in the lateral wall of the left ventricle. S is the septum and L is the lateral wall of the left ventricle.

Figure 3 Four-chamber cardiac magnetic resonance with subepicardial delay enhancement in the lateral wall of the left ventricle. S is the septum and L is the lateral wall of the left ventricle.

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References

https://pubmed.ncbi.nlm.nih.gov/

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