Chest Pain and ST-Segment Elevation in an 18-Year-Old Man
Mazen M Kawji1, D Luke Glancy2
1Cardiology Department, Heartland Cardiovascular Center, Joliet, Illinois.
The American Journal of Cardiology
|March 21, 2017
Summary
A young man presented with chest pain due to myopericarditis, a condition involving inflammation of the heart muscle and pericardium. This diagnosis followed a recent upper respiratory infection, highlighting a potential link between infections and cardiac issues.
Area of Science:
- Cardiology
- Infectious Diseases
- Internal Medicine
Background:
- Myopericarditis, an inflammation of the heart muscle and pericardium, can present with chest pain.
- Viral infections are a common preceding factor in cases of myopericarditis.
- Early diagnosis and management are crucial for favorable outcomes.
Observation:
- An 18-year-old male experienced acute chest pain suggestive of pericarditis.
- The patient reported a recent upper respiratory infection 10 days prior to symptom onset.
- Electrocardiograms revealed evolving pericarditis.
Findings:
- Echocardiography demonstrated mild, diffuse left ventricular hypokinesia.
- Elevated troponin I levels peaked at 47.5 ng/ml, indicating myocardial injury.
- The clinical presentation and diagnostic findings confirmed myopericarditis.
Implications:
- This case underscores the importance of considering myopericarditis in young adults with chest pain post-infection.
- Myopericarditis can manifest with myocardial dysfunction and elevated cardiac biomarkers.
- Prompt recognition and treatment are essential to prevent potential cardiac complications.
More Related Videos
05:26Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
9.7K
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
1.0K
Related Concept Videos
01:29Angina III: Clinical Manifestations and Assessment
314
Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
314
01:17Imaging Studies for Cardiovascular System I:Echocardiography
827
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
827
01:30Acute Coronary Syndrome III: Diagnostic Studies
351
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
351
01:30Acute Coronary Syndrome I: Introduction
1.3K
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
1.3K
01:19Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
582
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
582
01:26Exercise Stress Test
1.6K
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
1.6K