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CASE OF PSEUDOCORONARY PRESENTATION OF MYOCARDITIS WITH ST SEGMENT ELEVATION

https://doi.org/10.15829/1560-4071-2016-11-95-96

Abstract

Clinical case demonstrates the necessity for multimodal visualization of the heart in differential diagnostics of acute coronary syndrome with ST elevation in patients with non-obstruction coronary heart disease. This made possible to be sure on the diagnosis of pseudocoronary variant of myocarditis, to prescribe etiotropic and pathogenetic treatment. On-time diagnostics of alternative causes of chest pain may help to avoid unnecessary treatments related to acute myocardial infarction.

About the Authors

S. B. Gomboeva
RI Cardiology, Tomsk National Research Tomsk State University, Tomsk
Russian Federation


V. V. Ryabov
RI Cardiology, Tomsk National Research Tomsk State University, Tomsk Siberian State Medical University (SSMU), Tomsk, Russia


T. A. Shelkovnikova
RI Cardiology, Tomsk


V. Yu. Usov
RI Cardiology, Tomsk


V. A. Markov
RI Cardiology, Tomsk Siberian State Medical University (SSMU), Tomsk, Russia


R. S. Karpov
RI Cardiology, Tomsk Siberian State Medical University (SSMU), Tomsk, Russia


References

1. Gombozhapova AE, Rogovskaya YuV, Ryabova TR, et al. A clinical case of pseudocoronary scenario of inflammatory viral cardiomyopathy. Siberian Medical Journal, 2015, 30 (4): 60-5. Russian (Гомбожапова А. Э., Роговская Ю. В., Рябова Т. Р. и др. Случай псевдокоронарного варианта клинического течения воспалительной вирусной кардиомиопатии. Сибирский медицинский журнал, 2015: 30 (4): 60-5.

2. Planer D, Mehran R, Ohman EM, et al. Prognosis of рatients with non–ST-segment– elevation myocardial infarction and nonobstructive coronary artery disease propensitymatched analysis from the acute catheterization and urgent intervention triage strategy trial. Circulation, 2014; 7: 285-93.

3. Tornvall P, Gerbaud E, Behaghel A, et al. Myocarditis or “true” infarction by cardiac magnetic resonance in patients with a clinical diagnosis of myocardial infarction without obstructive coronary disease: Atherosclerosis, 2015; 241(1): 87-91.

4. Kawecki D, Morawiec B, Monney P, et al. Diagnostic Contribution of Cardiac Magnetic Resonance in Patients with Acute Coronary Syndrome and Culprit-Free Angiograms. Med Sci Monit. 2015; 21: 171-80.

5. Caforio AL, Pankuweit S, Arbustini E, et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. European Heart Journal, 2013: 34 (33): 2636-48.


Review

For citations:


Gomboeva S.B., Ryabov V.V., Shelkovnikova T.A., Usov V.Yu., Markov V.A., Karpov R.S. CASE OF PSEUDOCORONARY PRESENTATION OF MYOCARDITIS WITH ST SEGMENT ELEVATION. Russian Journal of Cardiology. 2016;(11):95-96. (In Russ.) https://doi.org/10.15829/1560-4071-2016-11-95-96

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ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)