Gambetti Simona, Fucà Giuseppe, Bressan Sabrina, Righi Riccardo, Sassone Biagio
G Ital Cardiol (Rome). 2014 Nov;15(11):634-7. doi: 10.1714/1694.18510.
Myocarditis is associated with a broad spectrum of clinical and electrocardiographic manifestations, ranging from completely asymptomatic courses to signs of myocardial infarction or cardiogenic shock. Endomyocardial biopsy is considered the gold standard for the diagnosis of myocarditis; however, in clinical practice, cardiovascular magnetic resonance (CMR) plays a leading role, being the most accurate noninvasive method for tissue characterization. We report the case of a 22-year-old patient hospitalized for acute precordial pain associated with ST-segment elevation in leads DI and aVL, mimicking acute myocardial infarction, in whom CMR led to the correct diagnosis of acute focal myocarditis.
心肌炎与广泛的临床和心电图表现相关，范围从完全无症状的病程到心肌梗死或心源性休克的体征。心内膜心肌活检被认为是心肌炎诊断的金标准；然而，在临床实践中，心血管磁共振成像（CMR）发挥着主导作用，是组织特征描述最准确的非侵入性方法。我们报告了一例22岁患者，因与DI和aVL导联ST段抬高相关的急性心前区疼痛入院，类似急性心肌梗死，CMR检查最终正确诊断为急性局灶性心肌炎。
