scholarly journals On the Precipice of Disaster – Fulminant Acute Myocarditis Mimicking ST-Elevation Myocardial Infarction in a Young Patient

2021 ◽  
Vol 31 (2) ◽  
pp. 361-365
Author(s):  
Ruxandra DRAGOI GALRIHNO ◽  
Anca BALINISTEANU ◽  
Vladimir BRATU ◽  
Andrea CIOBANU ◽  
Laura MITREA ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Acute Myocarditis ◽  
Young Patients ◽  
Coronary Vasospasm ◽  
St Elevation Myocardial Infarction ◽  
Fulminant Myocarditis ◽  
Ecg Changes ◽  
St Elevation ◽  
Rare Situation

Although acute myocarditis and coronary vasospasm are common differential diagnoses in the case of young patients with persistent ST elevation, the association of coronary vasospasm and acute fulminant myocarditis is a rare situation. We present the case of a 21 year-old male who presented with chest pain, ECG changes and biomarker levels initially interpreted as ST elevation myocardial infarction (STEMI), in which severe coronary vasospasm was identifi ed. Shortly after, he developed cardiogenic shock and fulminant acute myocarditis was suspected.

scholarly journals Serial Electrocardiographic Changes in a Young Female with Acute Myocarditis

2019 ◽  
pp. 1-7
Author(s):  
Gurkirat Singh ◽  
Mahesh Bodkhe ◽  
Akshat Jain ◽  
Narender Omprakash Bansal
Keyword(s):  
Myocardial Infarction ◽  
Heart Block ◽  
Complete Heart Block ◽  
Acute Myocarditis ◽  
Young Female ◽  
St Elevation Myocardial Infarction ◽  
Ecg Changes ◽  
Wide Range ◽  
Electrocardiographic Changes ◽  
St Elevation

Electrocardiographic changes in myocarditis mimic a wide range of ECG diagnoses ranging from ST-elevation myocardial infarction to complete heart block. We report a case of acute myocarditis in a young female with a wide range of ECG changes that mimic ST-elevation myocardial infarction and atrioventricular block.

A 16-year-old with ST elevation myocardial infarction: case report and review of the literature

2015 ◽  
Vol 26 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Dustin Hill ◽  
Adam Waldman ◽  
Deepak Vivek
Keyword(s):  
Risk Factors ◽  
Myocardial Infarction ◽  
Young Adults ◽  
Chest Pain ◽  
Young Patients ◽  
St Elevation Myocardial Infarction ◽  
Laboratory Evaluation ◽  
Uneventful Recovery ◽  
Increased Risk ◽  
St Elevation

AbstractChest pain in young adults presents a unique diagnostic challenge, placing young patients at an increased risk to be misdiagnosed, as this patient population typically does not demonstrate the traditional risk factors associated with cardiovascular disease. This study details the case of a 16-year-old male who presented with new-onset chest pain and ST elevation on electrocardiogram. His history was unremarkable for known cardiac risk factors, but laboratory evaluation demonstrated markedly elevated troponins and electrocardiographic findings confirmed ST-segment elevation myocardial infarction. Coronary angiography demonstrated 100% occlusion of the left anterior descending artery, which was managed with percutaneous transluminal coronary angioplasty, thrombectomy, and bare-metal stenting. The patient had an uneventful recovery. This study examines the major causes of ST elevation myocardial infarction in young adults and reviews the major differences between younger and older myocardial infarction populations with emphasis on risk factor profile, pathophysiological mechanisms, clinical presentation, angiographic findings, and prognosis. This review highlights the need for consideration of a wide differential in younger subsets of the population presenting with chest pain and ST elevation. The implementation of current adult management protocols and guidelines for ST elevation myocardial infarction should not be overlooked due to age. Given the potential for premature death and long-term disability with resulting individual and societal consequences, it is crucial to understand the importance of correct diagnostic evaluation in this clinical scenario.

scholarly journals Elderly Asian Patients Have Lower Revascularisation Rates and Poorer Outcomes for ST-Elevation Myocardial Infarction Compared to Younger Patients

2020 ◽  
Vol 49 (1) ◽  
pp. 3-14
Author(s):  
James X Cai ◽  
Jonathan Yap ◽  
Fei Gao ◽  
Tian Hai Koh ◽  
Khim Leng Tong ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Elderly Patients ◽  
Young Patients ◽  
Coronary Intervention ◽  
St Elevation Myocardial Infarction ◽  
Younger Patients ◽  
Asian Patients ◽  
Percutaneous Coronary ◽  
St Elevation

Introduction: There is limited information on elderly patients presenting with ST elevation myocardial infarction (STEMI). This study aimed to study the outcomes of elderly Asian patients with STEMI compared to younger patients. Materials and Methods: The study utilised data from 2007 to 2012 from the Singapore Myocardial Infarction Registry, a mandatory national population-based registry. Elderly patients were defined as ≥80 years of age, middle-aged to old (MAO) patients were defined as 45–80 years of age and young patients were defined as ≤45 years of age. The primary outcome of the study was 1-year mortality and secondary outcomes included in-hospital complications and mortality. Results: There were 12,409 STEMI patients with 1207 (9.7%) elderly patients, 10,093 (81.3%) MAO patients and 1109 (8.9%) young patients. Elderly patients had more cardiovascular risk factors and lower rates of total percutaneous coronary intervention (26.0% vs 72.4% vs 85.5%, respectively; P <0.0001) compared to MAO and young patients. They had higher 1-year mortality (60.6% vs 18.3% vs 4.1%, respectively; P <0.0001) when compared to MAO and young patients. Conclusion: Elderly patients with STEMI have poorer outcomes than MAO and young patients. This is potentially attributable to a myriad of factors including age, higher burden of comorbidities and a lesser likelihood of receiving revascularisation and guideline-recommended medical therapy. Keywords: Coronary artery bypass graft, Percutaneous coronary intervention

ECG of the month

2021 ◽  
Vol 16 (1) ◽  
pp. 1-1
Author(s):  
Charles Bloe
Keyword(s):  
Myocardial Infarction ◽  
Chest Pain ◽  
Acute Chest Pain ◽  
St Elevation Myocardial Infarction ◽  
St Elevation ◽  
Lost To Follow Up

In this issue's ECG of the month, Charles Bloe highlights a case of a 36-year-old woman presenting with severe acute chest pain after previously being lost to follow up post ST-elevation myocardial infarction.

scholarly journals Postpartum Coronary Vasospasm with Literature Review

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Jayanth Koneru ◽  
Matthew Cholankeril ◽  
Kunal Patel ◽  
Fadi Alattar ◽  
Ashraf Alqaqa ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Literature Review ◽  
Postpartum Period ◽  
Coronary Vasospasm ◽  
St Elevation Myocardial Infarction ◽  
Postpartum Woman ◽  
First Case ◽  
St Elevation

Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 39-year-old postpartum woman who developed non-ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our knowledge, this is the first case of angiographically evidenced coronary vasospasm, in a postpartum woman, with resistance to intracoronary nitroglycerin.

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