Acute Viral Myocarditis Mimicking ST Elevation Myocardial Infarction: Manifestation on Cardiac Magnetic Resonance

作者：Li Yi Da; Hsiao Fu Tsung; Lai Cha Po; Chen Chih Wei^*

来源：Acta Cardiologica Sinica, 2010, 26(1): 44-47.

• Cardiac magnetic resonance
• Coxsackievirus B
• Delayed enhancement
• Myocardial infarction
• Myocarditis

A 58-year-old man presented himself to the emergency room with chief complaints of chest pain and progressively exacerbated dyspnea for 4 days. Electrocardiography showed Q wave and ST-segment elevation in inferior leads. A thallium scan showed mixed ischemia and infarction in the inferior wall of the left ventricle. However, coronary artery angiography showed normal coronary arteries. Cardiac magnetic resonance showed a typical pattern of delayed enhancement in acute myocarditis. A viral serological study identified coxsackievirus B6 infection. We report a case of acute viral myocarditis mimicking ST elevation myocardial infarction and suggest that cardiac magnetic resonance with Gadolinium enhancement might be an effective method to detect acute viral myocarditis.

• 出版日期2010-3