An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature
Coronary vasospasm and myocarditis are both recognized mimics of ST elevation myocardial infarction with normal coronary arteries. The occurrence of both pathologies in the same patient has rarely been described. We report a case of a 27-year-old man initially presenting with history and electrocard...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Clinical and Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=146;epage=148;aulast=Rowe |
| _version_ | 1828364636755329024 |
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| author | Matthew K Rowe Matthew Rutherford Karam Kostner |
| author_facet | Matthew K Rowe Matthew Rutherford Karam Kostner |
| author_sort | Matthew K Rowe |
| collection | DOAJ |
| description | Coronary vasospasm and myocarditis are both recognized mimics of ST elevation myocardial infarction with normal coronary arteries. The occurrence of both pathologies in the same patient has rarely been described. We report a case of a 27-year-old man initially presenting with history and electrocardiogram (ECG) findings consistent with acute myocarditis who subsequently developed severe chest pain and new ST elevation, mimicking a myocardial infarction. Subsequent coronary angiography was normal, indicative of coronary vasospasm being the cause of ECG changes and symptoms. Previous case reports with a similar presentation are reviewed and potential mechanisms causing this association discussed. |
| first_indexed | 2024-04-14T05:18:47Z |
| format | Article |
| id | doaj.art-c7ee3f2aa5e149248a7d617ffc1241c2 |
| institution | Directory Open Access Journal |
| issn | 2250-3528 |
| language | English |
| last_indexed | 2024-04-14T05:18:47Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Preventive Cardiology |
| spelling | doaj.art-c7ee3f2aa5e149248a7d617ffc1241c22022-12-22T02:10:16ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Preventive Cardiology2250-35282016-01-015414614810.4103/2250-3528.192699An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literatureMatthew K RoweMatthew RutherfordKaram KostnerCoronary vasospasm and myocarditis are both recognized mimics of ST elevation myocardial infarction with normal coronary arteries. The occurrence of both pathologies in the same patient has rarely been described. We report a case of a 27-year-old man initially presenting with history and electrocardiogram (ECG) findings consistent with acute myocarditis who subsequently developed severe chest pain and new ST elevation, mimicking a myocardial infarction. Subsequent coronary angiography was normal, indicative of coronary vasospasm being the cause of ECG changes and symptoms. Previous case reports with a similar presentation are reviewed and potential mechanisms causing this association discussed.http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=146;epage=148;aulast=RoweMyocardial infarction with nonobstructed coronary arteriesmyocarditispericarditisvasospasm |
| spellingShingle | Matthew K Rowe Matthew Rutherford Karam Kostner An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature Journal of Clinical and Preventive Cardiology Myocardial infarction with nonobstructed coronary arteries myocarditis pericarditis vasospasm |
| title | An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature |
| title_full | An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature |
| title_fullStr | An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature |
| title_full_unstemmed | An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature |
| title_short | An unusual cause of ST elevation: Coronary vasospasm complicating acute myocarditis - A case report and review of the literature |
| title_sort | unusual cause of st elevation coronary vasospasm complicating acute myocarditis a case report and review of the literature |
| topic | Myocardial infarction with nonobstructed coronary arteries myocarditis pericarditis vasospasm |
| url | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=146;epage=148;aulast=Rowe |
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