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Inflammatory myocarditis presenting as acute myocardial infarction.
1Department of Cardiology, All India Institute of Medical Science, New Delhi.
Indian Heart Journal
|May 1, 1990
Summary
Acute myocarditis can mimic acute myocardial infarction in patients, even with normal coronary angiograms. This emphasizes the importance of considering inflammatory heart conditions in myocardial infarction diagnoses.
Area of Science:
- Cardiology
- Pathology
- Biomedical Science
Background:
- Acute myocarditis is an inflammatory condition affecting the heart muscle.
- Myocardial infarction is typically caused by blocked coronary arteries.
Observation:
- Two patients presented with symptoms and ECG findings indicative of acute transmural myocardial infarction.
- Both patients had normal coronary angiograms, ruling out obstructive coronary artery disease.
Findings:
- Endomyocardial biopsy confirmed acute myocarditis in both patients.
- The clinical presentation mimicked acute myocardial infarction despite the absence of coronary artery blockage.
Implications:
- Inflammatory myocarditis should be considered in the differential diagnosis of myocardial infarction.
- This highlights the need for advanced diagnostic tools beyond coronary angiography for certain cardiac presentations.