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Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction

Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction
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摘要 A 24-year-old healthy man consulted to our center because of typical on-and-off chest-pain and an electrocardiogram showing ST-segment elevation in inferior leads. An urgent coronary angiography showed angiographically normal coronary arteries. Cardiovascular magnetic resonance imaging confirmed acute myocarditis. Although acute myocarditis triggering coronary spasm is an uncommon association, it is important to recognize it, particularly for the management for those patients presenting with ST-segment elevation and suspect myocardial infarction and angiographically normal coronary arteries. The present report highlights the role of cardiovascular magnetic resonance imaging to identify acute myocarditis as the underlying cause. A 24-year-old healthy man consulted to our center because of typical on-and-off chest-pain and an electrocardiogram showing ST-segment elevation in inferior leads. An urgent coronary angiography showed angiographically normal coronary arteries. Cardiovascular magnetic resonance imaging confirmed acute myocarditis. Although acute myocarditis triggering coronary spasm is an uncommon association, it is important to recognize it, particularly for the management for those patients presenting with ST-segment elevation and suspect myocardial infarction and angiographically normal coronary arteries. The present report highlights the role of cardiovascular magnetic resonance imaging to identify acute myocarditis as the underlying cause.
出处 《World Journal of Cardiology》 CAS 2014年第9期1045-1048,共4页 世界心脏病学杂志(英文版)(电子版)
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参考文献2

  • 1Matthias G. Friedrich,Udo Sechtem,Jeanette Schulz-Menger,Godtfred Holmvang,Pauline Alakija,Leslie T. Cooper,James A. White,Hassan Abdel-Aty,Matthias Gutberlet,Sanjay Prasad,Anthony Aletras,Jean-Pierre Laissy,Ian Paterson,Neil G. Filipchuk,Andreas Kumar,Matthias Pauschinger,Peter Liu.Cardiovascular Magnetic Resonance in Myocarditis: A JACC White Paper[J].Journal of the American College of Cardiology.2009(17)
  • 2Hassan Abdel-Aty,Philipp Boyé,Anja Zagrosek,Ralf Wassmuth,Andreas Kumar,Daniel Messroghli,Petra Bock,Rainer Dietz,Matthias G. Friedrich,Jeanette Schulz-Menger.Diagnostic Performance of Cardiovascular Magnetic Resonance in Patients With Suspected Acute Myocarditis[J].Journal of the American College of Cardiology.2005(11)

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