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On the Precipice of Disaster – Fulminant Acute Myocarditis Mimicking ST-Elevation Myocardial Infarction in a Young Patient Cover

On the Precipice of Disaster – Fulminant Acute Myocarditis Mimicking ST-Elevation Myocardial Infarction in a Young Patient

Romanian Journal of Cardiology
Volume 31 (2021): Issue 2 (June 2021)
By: Ruxandra Dragoi Galrihno,  Anca Balinisteanu,  Vladimir Bratu,  Andrea Ciobanu,  Laura Mitrea,  Alina Nicula and  Dragos Vinereanu  
Open Access
|May 2022

Figures & Tables

Figure 1

ECG: strip A – at admission to local hospital; strip B – at admission to our hospital; strip C – day 6 after admission to our hospital.
ECG: strip A – at admission to local hospital; strip B – at admission to our hospital; strip C – day 6 after admission to our hospital.

Figure 2

Coronary angiography showing (A) important spasm of right coronary artery which subsided after intracoronary Nitroglycerin administration (B); normal left coronary system (C and D).
Coronary angiography showing (A) important spasm of right coronary artery which subsided after intracoronary Nitroglycerin administration (B); normal left coronary system (C and D).

Figure 3

Speckle tracking echocardiography performed 8 days after admission showing decreased global longitudinal strain, especially in the epicardial layer, with a patchy and diffused distribution of reduced strains across all segments.
Speckle tracking echocardiography performed 8 days after admission showing decreased global longitudinal strain, especially in the epicardial layer, with a patchy and diffused distribution of reduced strains across all segments.

Figure 4

CMR scan done at 14 days. LGE and T2-weighted sequences showing edema at the distal portion of the left ventricular papillary muscles (arrow).
CMR scan done at 14 days. LGE and T2-weighted sequences showing edema at the distal portion of the left ventricular papillary muscles (arrow).

Figure 5

CMR scan repeated at 30 days. T1 pre- and post-contrast mapping and LGE acquisitions: fibrosis in the distal portion of papillary muscles (arrow).
CMR scan repeated at 30 days. T1 pre- and post-contrast mapping and LGE acquisitions: fibrosis in the distal portion of papillary muscles (arrow).
DOI: https://doi.org/10.47803/rjc.2021.31.2.361 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 361 - 365
Published on: May 3, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
acute myocarditis,
coronary vasospasm,
STEMI,
cardiogenic shock
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Ruxandra Dragoi Galrihno, Anca Balinisteanu, Vladimir Bratu, Andrea Ciobanu, Laura Mitrea, Alina Nicula, Dragos Vinereanu, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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