Viral myocarditis masquerading acute coronary syndrome (ACS) - MRI to the rescue

Abdul Hakeem, Sabha Bhatti, Annie Fuh, Mary Mallof, Charles Stone, Francis Thornton, Su Min Chang

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

A young man with a strong family history of myocardial infarction with sudden death presented with chest pain and was found to have positive cardiac biomarkers and echocardiographic evidence of inferolateral wall hypokinesia. He was managed as an acute coronary syndrome and underwent a thorough ischemic work-up which was negative. Subsequently, a cardiac MRI was performed that demonstrated a patchy subepicardial enhancement, most consistent with acute viral myocarditis. This case demonstrates the importance of cardiac MRI in distinguishing an acute coronary syndrome from viral myocarditis.

Original languageEnglish (US)
Pages (from-to)e74-e76
JournalInternational Journal of Cardiology
Volume119
Issue number3
DOIs
StatePublished - Jul 31 2007

Keywords

  • Cardiac MRI
  • Clinical decision making
  • Viral myocarditis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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