Open AccessOn the Precipice of Disaster – Fulminant Acute Myocarditis Mimicking ST-Elevation Myocardial Infarction in a Young Patient
Author(s) -
Ruxandra Dragoi Galrihno,
Anca Balinisteanu,
Vladimir Bratu,
A. Ciobanu,
L Mitrea,
Alina Ioaicula,
Dragoş Vinereanu
Publication year - 2021
Publication title -
romanian journal of cardiology
Language(s) - English
Resource type - Journals
eISSN - 2734-6382
pISSN - 1220-658X
DOI - 10.47803/rjc.2021.31.2.361
Subject(s) - medicine , cardiogenic shock , myocarditis , cardiology , fulminant , myocardial infarction , vasospasm , coronary vasospasm , acute coronary syndrome , chest pain , st elevation , differential diagnosis , shock (circulatory) , coronary angiography , subarachnoid hemorrhage , pathology
Although acute myocarditis and coronary vasospasm are common differential diagnoses in the case of young patients with persistent ST elevation, the association of coronary vasospasm and acute fulminant myocarditis is a rare situation. We present the case of a 21 year-old male who presented with chest pain, ECG changes and biomarker levels initially interpreted as ST elevation myocardial infarction (STEMI), in which severe coronary vasospasm was identifi ed. Shortly after, he developed cardiogenic shock and fulminant acute myocarditis was suspected.