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Journals / Journal of Emergency Medicine Case Reports / 2020 / Cilt: 11 Sayı: 4

Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report

Hüseyin Avni Demir(ŞANLIURFA T.C. SB. SBÜ. MEHMET AKİF İNAN EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0003-2891-9345
Fikret Bildik(GAZI UNIVERSITY, FACULTY OF MEDICINE)0000-0003-2464-0232
Gultekin Kadi(ANKARA YILDIRIM BEYAZIT UNIVERSITY, FACULTY OF HEALTH SCIENCES)0000-0002-9195-6635
Pages
122–124
Publication Date
2020-12-28
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The differential diagnosis between myocarditis and AMI can be troublesome in ED.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Myocarditis is an infrequent, possibly life-threatening, and inflammatory myocardial disease with various number of clinical complaints and symptoms, often caused by infectious agents.
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Key Findings & Data:Case Presentation: A 24‑year‑old male came to the emergency department (ED) with the complaints of angina-like retrosternal chest pain and tightness lasting for three days.
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Conclusion & Impact:The differential diagnosis between myocarditis and AMI can be troublesome in ED.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:angina pectoris · endomyocardial biopsy · ischaemia

Abstract

Introduction: Myocarditis is an infrequent, possibly life-threatening, and inflammatory myocardial disease with various number of clinical complaints and symptoms, often caused by infectious agents. Case Presentation: A 24‑year‑old male came to the emergency department (ED) with the complaints of angina-like retrosternal chest pain and tightness lasting for three days. The ECG suggesting inferior submural ischaemia and echocardiographic assessment was normal. Laboratory tests showed troponin T levels increased. Coronary angiography was normal. CMRI showed patchy contrast uptake. It looked more like viral myocarditis. Conclusion: Acute myocarditis diagnosis is most difficulty and predictively in connection with the variety of clinical presentations. The differential diagnosis between myocarditis and AMI can be troublesome in ED.

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Cite This Article

Demir, H. A., Bildik, F., Kadi, G. (2020). Focal Myocarditis Mimicking Subendocardial Ischaemia: a Case Report. Journal of Emergency Medicine Case Reports, Cilt: 11 Sayı: 4, 122–124. https://doi.org/10.33706/jemcr.805411

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