ST elevation without myocardial infarction

BMJ Case Rep. 2014 Apr 7:2014:bcr2013201160. 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.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / complications
  • Acute Coronary Syndrome / diagnosis*
  • Arrhythmias, Cardiac / diagnosis*
  • Arrhythmias, Cardiac / etiology
  • Brugada Syndrome
  • Cardiac Conduction System Disease
  • Chest Pain / diagnosis*
  • Coronary Angiography
  • Diagnosis, Differential
  • Heart Conduction System / abnormalities*
  • Humans
  • Magnetic Resonance Spectroscopy
  • Male
  • Middle Aged
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnosis*
  • Myocarditis / complications
  • Myocarditis / diagnosis*