Myocarditis presenting as typical acute myocardial infarction: A case report and review of the literature

• 作者: Fei Zheng Jing-Ru Lin Lin Lin Peng-Xi Han Rui Xu Xia Wu Ya-Min Hou
• 来源期刊: 世界临床病例杂志
• 学科: 医学
• 关键词: MYOCARDITIS MYOCARDIAL infraction Magnetic resonance imaging CARDIOMYOCYTES FOLLOW-UP study Case report
• 年，卷（期）: 2020,（2）
• 页码范围: 415-424
• 页数: 10页
• 分类号: R54

摘要

BACKGROUND Myocarditis refers to a variety of myocardial inflammatory lesions. A variety of factors such as infection and physical and chemical factors can cause myocarditis.Depending on the severity of myocardial damage, myocarditis patients can manifest heart failure, cardiogenic shock, and even sudden death. Here we present a case of viral myocarditis that mimicked acute coronary syndrome.CASE SUMMARY A middle-aged male patient presented with chest pain and elevated troponin I after a flu-like infection. This patient had a history of hypertension and a habit of alcohol and tobacco use. Electrocardiography showed typical changes in acute myocardial infarction, with the T-wave increasing. Coronary angiogram revealed no stenosis. Cardiac magnetic resonance imaging revealed edema of the middle and apical septal and apical anterior walls on T2-weighted images and the T1 mapping. Late gadolinium enhancement of the middle and apical septal and apical anterior walls could be found. Rubella virus immunoglobulin G and immunoglobulin M antibodies were abnormally elevated. The patient was given antiviral and antibiotic treatments, and serum biomarkers and electrocardiograph returned to normal after 5 d of treatment. After one-year follow-up, the patient showed no symptoms, and cardiac magnetic resonance showed that myocardial thickness was significantly thinner than before, and fibrosis was less than before.CONCLUSIONThis case illustrates the utility of cardiac magnetic resonance for diagnosis of infarction-like myocarditis when the angiogram is normal.