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Updated: Aug 23, 2025

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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Acute Myocarditis Masquerading as ST-Elevation Myocardial Infarction in a 17-Year-Old

Maham A Waheed1, Cynthia Balasanmugam2, Sergey Ayzenberg2

  • 1Internal Medicine, Maimonides Medical Center, Brooklyn, USA.

Cureus
|November 3, 2022
PubMed

Insights

Myocarditis can mimic ST-Elevation Myocardial Infarction (STEMI), posing a diagnostic challenge. Cardiac MRI is superior for detecting myocardial abnormalities and distinguishing myocarditis from true STEMI.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Myocarditis presents variably, from asymptomatic cases to severe heart failure.
  • It can mimic acute coronary syndromes, including ST-Elevation Myocardial Infarction (STEMI).

Observation:

  • Myocarditis mimicking STEMI presents a diagnostic challenge, particularly without preceding flu-like symptoms.
  • Distinguishing between myocarditis and STEMI is crucial for appropriate treatment.

Findings:

  • Cardiac Magnetic Resonance (CMR) imaging excels at detecting myocardial abnormalities.
  • CMR demonstrates superiority in differentiating myocarditis from true STEMI.

Implications:

  • Accurate diagnosis of myocarditis versus STEMI is vital for patient management.
  • Cardiac MRI should be considered in cases of suspected myocarditis presenting as STEMI.
  • Improved diagnostic accuracy can lead to better patient outcomes.

Keywords:
cardiology devicescardiology imagingcardiology researchmyo-pericarditispericardiumrecurrent pericarditis

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