Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy

The article describes a clinical case of biventricular arrhythmogenic cardiomyopathy (ACM) presented with myocardial infarction (MI) — like event in a young patient. The patient was hospitalized with suspected acute coronary syndrome and an episode of ventricular tachycardia (VT). Based on increased...

Full description

Bibliographic Details
Main Authors: Y. V. Stavtseva, E. A. Mershina, T. V. Lobzhanidze, E. I. Bazdireva, N. I. Khutsishvili, Zh. D. Kobalava
Format: Article
Language:English
Published: Столичная издательская компания 2024-03-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/3005
_version_ 1797232000259588096
author Y. V. Stavtseva
E. A. Mershina
T. V. Lobzhanidze
E. I. Bazdireva
N. I. Khutsishvili
Zh. D. Kobalava
author_facet Y. V. Stavtseva
E. A. Mershina
T. V. Lobzhanidze
E. I. Bazdireva
N. I. Khutsishvili
Zh. D. Kobalava
author_sort Y. V. Stavtseva
collection DOAJ
description The article describes a clinical case of biventricular arrhythmogenic cardiomyopathy (ACM) presented with myocardial infarction (MI) — like event in a young patient. The patient was hospitalized with suspected acute coronary syndrome and an episode of ventricular tachycardia (VT). Based on increased cardiac troponin, left ventricular systolic dysfunction with wall motion abnormalities, and nonobstructive coronary arteries the initial diagnosis of type 2 MI was made. To verify the etiology behind VT and ventricular structural abnormalities cardiac magnetic resonance imaging (MRI) was performed. Abnormalities of both right and left ventricles demonstrated by MRI and supported by the genetic testing established the diagnosis of biventricular ACM. Since the diagnosis was made, initially diagnosed MI was reassessed in favor of acute myocardial injury as a characteristic of ACM course. ACM should be included into differential diagnosis with MI and acute myocarditis in patients with elevated troponin and nonobstructive coronary arteries.
first_indexed 2024-04-24T15:53:19Z
format Article
id doaj.art-16937dc54cce493a9f159d33f2a6743c
institution Directory Open Access Journal
issn 1819-6446
2225-3653
language English
last_indexed 2024-04-24T15:53:19Z
publishDate 2024-03-01
publisher Столичная издательская компания
record_format Article
series Рациональная фармакотерапия в кардиологии
spelling doaj.art-16937dc54cce493a9f159d33f2a6743c2024-04-01T07:43:44ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532024-03-01201576210.20996/1819-6446-2024-30052185Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathyY. V. Stavtseva0E. A. Mershina1T. V. Lobzhanidze2E. I. Bazdireva3N. I. Khutsishvili4Zh. D. Kobalava5RUDN UniversityLomonosov Moscow State UniversityRUDN UniversityRUDN UniversityRUDN UniversityRUDN UniversityThe article describes a clinical case of biventricular arrhythmogenic cardiomyopathy (ACM) presented with myocardial infarction (MI) — like event in a young patient. The patient was hospitalized with suspected acute coronary syndrome and an episode of ventricular tachycardia (VT). Based on increased cardiac troponin, left ventricular systolic dysfunction with wall motion abnormalities, and nonobstructive coronary arteries the initial diagnosis of type 2 MI was made. To verify the etiology behind VT and ventricular structural abnormalities cardiac magnetic resonance imaging (MRI) was performed. Abnormalities of both right and left ventricles demonstrated by MRI and supported by the genetic testing established the diagnosis of biventricular ACM. Since the diagnosis was made, initially diagnosed MI was reassessed in favor of acute myocardial injury as a characteristic of ACM course. ACM should be included into differential diagnosis with MI and acute myocarditis in patients with elevated troponin and nonobstructive coronary arteries.https://www.rpcardio.online/jour/article/view/3005arrhythmogenic cardiomyopathymyocardial infarctiontroponin iacute myocardial injuryventricular tachycardia
spellingShingle Y. V. Stavtseva
E. A. Mershina
T. V. Lobzhanidze
E. I. Bazdireva
N. I. Khutsishvili
Zh. D. Kobalava
Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
Рациональная фармакотерапия в кардиологии
arrhythmogenic cardiomyopathy
myocardial infarction
troponin i
acute myocardial injury
ventricular tachycardia
title Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
title_full Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
title_fullStr Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
title_full_unstemmed Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
title_short Acute myocardial infarction-like event in a young patient with biventricular arrhythmogenic cardiomyopathy
title_sort acute myocardial infarction like event in a young patient with biventricular arrhythmogenic cardiomyopathy
topic arrhythmogenic cardiomyopathy
myocardial infarction
troponin i
acute myocardial injury
ventricular tachycardia
url https://www.rpcardio.online/jour/article/view/3005
work_keys_str_mv AT yvstavtseva acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy
AT eamershina acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy
AT tvlobzhanidze acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy
AT eibazdireva acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy
AT nikhutsishvili acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy
AT zhdkobalava acutemyocardialinfarctionlikeeventinayoungpatientwithbiventriculararrhythmogeniccardiomyopathy