A Case of Acute Myopericarditis with Localized ST Elevation Mimicking Myocardial Infarction.
- Author:
Tae Wook KIM
1
;
Min Jeong JEONG
;
Jun Young IM
;
Jae Shik JEONG
;
Mi Ran PARK
;
Ju Cheol PARK
;
Joon Hoon JEONG
Author Information
1. Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. jjhoon69@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Pericarditis;
Myocarditis;
Acute myocardial infarction
- MeSH:
Adult;
Depression;
Electrocardiography;
Humans;
Myocardial Infarction;
Myocarditis;
Pericarditis;
Physical Examination
- From:Korean Journal of Medicine
2011;80(1):92-96
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although, with regard to diagnosis, history, physical examination, laboratory data, and electrocardiogram (ECG) are helpful, it can be difficult to distinguish between pericarditis, myopericarditis, and myocardial infarction. Typically, the ECG pattern evolves similarly in acute pericarditis and myopericarditis and includes diffuse ST elevation and PR depression, and then diffuse T wave inversion. Nevertheless, atypical ECG features are seen occasionally in both, especially in myopericarditis. They are characterized by localized ST elevation (inferolateral or anterolateral) and T wave inversion before ST segment normalization. This makes it difficult to distinguish acute myopericarditis from acute myocardial infarction. We report the case of a 27-year-old man with acute myopericarditis with localized ST elevation mimicking acute myocardial infarction.
