The Dilemma of acute myocarditis and acute myocardial infarction: a case report

Abstract

The first diagnosis in patients with chest pain and ST segment elevation is acute myocardial infarction. But acute myocardial infarction sometimes can be confused with other diseases such as myocarditis. Discrimination of acute myocardial infarction and acute myocarditis can be made by history, physical examination, electrocardiography, echocardiography and cardiac-specific enzymes. The treatment and prognosis of those two diseases are completely different. The differential diagnosis and decision of coronary angiography is lifesaving. Electrocardiography is very important in the differentiation of these two diseases. Although ECG findings are different, acute myocarditis and acute myocardial infarction sometimes imitate each other. 22 years old male patient diagnosed as myocarditis and focal ST elevation with reciprocal ST depression presented in this case.

Keywords

• Myocarditis,myocardial infarction,prinzmental angina,coronary angiography

Akut miyokardit ve akut miyokart infarktüsü ikilemi: vaka sunumu

Abstract

Göğüs ağrısı ve St segment elevasyonu ile gelen hastalarda düşünülecek ilk tanı akut miyokart infarktüsüdür. Ancak akut miyokart infarktüsü bazen miyokardit gibi bazı hastalıklarla karışabilir. Akut miyokart infarktüsü ve miyokardit ayrımı hikaye, fizik muayene, elektrokardiyografi, ekokardiyografi ve kardiyak-spefik enzimlerle yapılır.Bu iki hastalığın tedavi ve prognozu birbirinden tamamen farklıdır. Ayırıcı tanıya varmak ve koroner anjiografi kararı verebilmek hayat kurtarıcıdır. Bu iki hastalığın ayırımında elektrokardiyografi çok önemlidir. Elektrokardiyografi bulguları farklı olmasına rağmen, bazen akut miyokart infarktüsü ve akut miyokardit birbirini taklit edebilir. Fokal ST elevasyonu ile birlikte resiprokal ST depresyonu bulunan 22 yaşında miyokardit tanısı konulan bir hastayı sunduk.

Keywords

• Miyokardit,miyokart infarktüsü,prinzmental Angina,koroner anjiografi

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