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Myopericarditis--diagnostic dilemmas in relation to acute myocardial infarction

Igor Ivanov1, Jadranka Dejanović, Olivera Ivanov

  • 1University of Novi Sad, Medical Faculty, Novi Sad. ivanovigor05@gmail.com

Medicinski Pregled
|November 20, 2013
PubMed

Insights

Differentiating myopericarditis from acute myocardial infarction can be challenging due to similar symptoms. This case highlights the diagnostic difficulties, even with advanced tests like echocardiography and coronary angiography.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Myopericarditis shares clinical features with acute myocardial infarction, including chest pain, ECG changes, and elevated cardiac enzymes.
  • Distinguishing between these conditions is crucial for appropriate patient management.
  • Limited literature exists on myopericarditis, making case reports valuable.

Observation:

  • A 19-year-old presented with chest pain, ECG abnormalities, and elevated cardiac biomarkers, mimicking acute myocardial infarction.
  • Echocardiography showed left ventricular hypocinesia, prompting urgent coronary angiography.
  • Coronary angiography revealed normal coronary arteries.

Findings:

  • The patient was diagnosed with myopericarditis after ruling out acute myocardial infarction.
  • Despite initial concerning signs, the patient recovered well with appropriate therapy.
  • Diagnosis was challenging based on initial clinical presentation, ECG, and echocardiography alone.

Implications:

  • This case underscores the diagnostic complexities in differentiating myopericarditis from acute myocardial infarction.
  • It emphasizes the importance of considering myopericarditis in young patients with cardiac symptoms and elevated biomarkers.
  • Further research and standardized diagnostic criteria are needed for myopericarditis.
Abstract

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