Phantom Ischemia Mimicking ST Segment Elevation Myocardial Infarction in Fulminant Myocarditis.
10.12771/emj.2012.35.2.129
- Author:
Seung Han KIM
1
;
Yong Hyun KIM
;
Jong Soo LEE
;
Young Jae HWANG
;
Jae Min LEE
;
Keunhee KANG
;
Woo Hyuk SONG
;
Jeong Cheon AHN
Author Information
1. Division of Cardiology, Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea. xkyhx@hanmail.net
- Publication Type:Case Report
- Keywords:
Coronary artery vasospasm;
Myocardial infarction;
Myocardial perfusion image;
Myocarditis
- MeSH:
Atherosclerosis;
Chest Pain;
Coronary Angiography;
Coronary Vasospasm;
Coronary Vessels;
Dyspnea;
Echocardiography;
Edema;
Electrocardiography;
Emergencies;
Fever;
Heart Failure;
Ischemia;
Myocardial Infarction;
Myocarditis;
Perfusion
- From:The Ewha Medical Journal
2012;35(2):129-134
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 30-year-old man visited the emergency room for chest pain, dyspnea and fever. Despite increased serum cardiac enzymes, ST segment elevation and inferior wall akinesis in electrocardiography and echocardiography, no atherosclerosis was evident in the coronary angiography. However, radionuclide myocardial perfusion image at day 2 showed a persistent perfusion defect in the left ventricular (LV) inferior wall. At day 3, prominent myocardial edema and severe LV systolic dysfunction developed with signs of heart failure. In this case, fulminant myocarditis seemed to originate from the right coronary artery territory and simulated a ST segment elevation myocardial infarction without coronary artery obstruction. The pathogenesis of the localized perfusion defect was unlcear.
