一名年轻男性表现为伴有ST段抬高型心肌梗死的心肌炎。11例患者的病例系列报道

Myocarditis with ST-Elevation Myocardial Infarction presentation in young man. A case series of 11 patients.

作者信息

Costantini Marcello, Tritto Cristina, Licci Enrico, Sticchi Giovanni, Capone Sergio, Montinaro Antonio, Bruno Annalisa, Nuzzaci Giuseppe, Picano Eugenio

出版信息

Int J Cardiol. 2005 May 11;101(1):157-8. doi: 10.1016/j.ijcard.2004.01.023.

DOI:10.1016/j.ijcard.2004.01.023

PMID:15860403

Abstract

Acute myocarditis may mimic an infarction. Aim is to describe a case series of peculiar myocarditis. From 1997 to 2003, 11 male patients (age 17-39 years) were admitted with diagnosis of acute myocardial infarction, localized ST segment elevation and minimal enzyme release. Ten patients had fever in the 3 days prior to admission. Eight patients underwent coronary angiography showing normal coronary arteries. All remained asymptomatic at long term follow-up. In conclusion, myocarditis with ST elevation myocardial infarction presentation is an acute benign syndrome especially frequent in young males.

摘要

急性心肌炎可能会被误诊为心肌梗死。目的是描述一系列特殊心肌炎病例。1997年至2003年，11名男性患者（年龄17 - 39岁）因急性心肌梗死、局限性ST段抬高和最小酶释放而入院。10名患者在入院前3天出现发热。8名患者接受冠状动脉造影显示冠状动脉正常。所有患者在长期随访中均无症状。总之，表现为ST段抬高型心肌梗死的心肌炎是一种急性良性综合征，在年轻男性中尤为常见。