Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series
Distinguishing ST-elevation myocardial infarction (STEMI) differential diagnoses is more challenging. Myopericarditis is one of these differentials that results from viral involvement of myocardium and pericardium of the heart. Myopericarditis in focal form can mimic acute STEMI in its electrocardio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2018-12-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/242 |
| _version_ | 1828910603371020288 |
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| author | Younes Nozari Masih Tajdini Mehdi Mehrani Roza Ghaderpanah |
| author_facet | Younes Nozari Masih Tajdini Mehdi Mehrani Roza Ghaderpanah |
| author_sort | Younes Nozari |
| collection | DOAJ |
| description | Distinguishing ST-elevation myocardial infarction (STEMI) differential diagnoses is more challenging. Myopericarditis is one of these differentials that results from viral involvement of myocardium and pericardium of the heart. Myopericarditis in focal form can mimic acute STEMI in its electrocardiogram (ECG) features and elevated cardiac enzymes.
Myocarditis patients may face thrombolytic related complications such as intracranial bleeding, myocardial rupture, and hemorrhagic cardiac tamponade. Furthermore, re-administration of streptokinase (a common thrombolytic agent in our country) is banned for at least six months of previous administration; however, it can save patients’ lives in emergency conditions such as massive pulmonary embolism. It seems that, when dealing with a young patient presenting to emergency department with acute chest pain and ST segment elevation on ECG, we should consider focal myocarditis as an important but rare differential diagnosis of STEMI. In this report, we describe three cases of focal myocarditis, primarily misdiagnosed as STEMI. |
| first_indexed | 2024-12-13T18:47:14Z |
| format | Article |
| id | doaj.art-77376312bd424612918a490fd26b26eb |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-13T18:47:14Z |
| publishDate | 2018-12-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-77376312bd424612918a490fd26b26eb2022-12-21T23:35:02ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042018-12-014310.22037/aaem.v4i3.242Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case SeriesYounes Nozari0Masih Tajdini1Mehdi Mehrani2Roza Ghaderpanah3Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.Distinguishing ST-elevation myocardial infarction (STEMI) differential diagnoses is more challenging. Myopericarditis is one of these differentials that results from viral involvement of myocardium and pericardium of the heart. Myopericarditis in focal form can mimic acute STEMI in its electrocardiogram (ECG) features and elevated cardiac enzymes. Myocarditis patients may face thrombolytic related complications such as intracranial bleeding, myocardial rupture, and hemorrhagic cardiac tamponade. Furthermore, re-administration of streptokinase (a common thrombolytic agent in our country) is banned for at least six months of previous administration; however, it can save patients’ lives in emergency conditions such as massive pulmonary embolism. It seems that, when dealing with a young patient presenting to emergency department with acute chest pain and ST segment elevation on ECG, we should consider focal myocarditis as an important but rare differential diagnosis of STEMI. In this report, we describe three cases of focal myocarditis, primarily misdiagnosed as STEMI.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/242Coronary angiographyelectrocardiographymyocardial infarctionmyocarditisemergency medicine |
| spellingShingle | Younes Nozari Masih Tajdini Mehdi Mehrani Roza Ghaderpanah Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series Archives of Academic Emergency Medicine Coronary angiography electrocardiography myocardial infarction myocarditis emergency medicine |
| title | Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series |
| title_full | Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series |
| title_fullStr | Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series |
| title_full_unstemmed | Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series |
| title_short | Focal Myopericarditis as a Rare but Important Differential Diagnosis of Myocardial Infarction; a Case Series |
| title_sort | focal myopericarditis as a rare but important differential diagnosis of myocardial infarction a case series |
| topic | Coronary angiography electrocardiography myocardial infarction myocarditis emergency medicine |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/242 |
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