HIV Myocarditis Presenting as Acute ST-Segment Elevation Myocardial Infarction
Sivakumar Ardhanari1, N Arun Kumar, Ameya R Udyavar
1Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai.
Indian Heart Journal
|November 27, 2008
Summary
Myocarditis is common in human immunodeficiency virus (HIV) patients. This case highlights a rare presentation of HIV-associated myocarditis mimicking ST-segment elevation myocardial infarction, emphasizing the need for broader differential diagnoses in HIV-infected individuals.
Area of Science:
- Cardiology
- Infectious Diseases
- Virology
Background:
- Myocarditis is frequently observed in individuals with human immunodeficiency virus (HIV).
- HIV-associated myocarditis typically presents with diverse cardiac manifestations.
- Severe presentations like ST-segment elevation myocardial infarction (STEMI) are uncommon in HIV-related myocarditis.
Purpose of the Study:
- To describe a rare case of HIV-associated myocarditis.
- To illustrate its presentation mimicking acute myocardial infarction.
- To emphasize diagnostic considerations in HIV-infected patients with cardiac symptoms.
Main Methods:
- Case report of a 32-year-old male with HIV.
- Clinical presentation analysis.
- Review of diagnostic findings and cardiac imaging.
Main Results:
- The patient presented with symptoms consistent with an acute inferolateral wall myocardial infarction.
- Cardiac investigations revealed findings indicative of myocarditis.
- The case underscores a rare but critical presentation of HIV-related cardiac pathology.
Conclusions:
- HIV-associated myocarditis can rarely manifest as STEMI with cardiogenic shock.
- Early recognition and consideration of myocarditis in the differential diagnosis are crucial for HIV patients presenting with acute coronary syndromes.
- This case highlights the importance of a comprehensive diagnostic approach in managing cardiac complications in HIV infection.
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