Stratmann H G
Department of Cardiology, St. Louis Veterans Administration Medical Center, Missouri.
Angiology. 1988 Mar;39(3 Pt 1):253-8. doi: 10.1177/000331978803900308.
Both acute myocarditis and myocardial infarction must be considered in the differential diagnosis of the young patient with angina-like chest pain. Initial assessment may be difficult, since both diseases may produce similar clinical presentations, electrocardiographic changes, and elevations in cardiac enzymes. Early differentiation is important, however, since myocarditis and myocardial infarction differ greatly in their management and prognosis. These difficulties are illustrated by the 2 cases presented, and guidelines for diagnosis and treatment are given.
对于出现心绞痛样胸痛的年轻患者，鉴别诊断时必须考虑急性心肌炎和心肌梗死。初始评估可能会很困难，因为这两种疾病可能会产生相似的临床表现、心电图变化以及心肌酶升高。然而，早期鉴别很重要，因为心肌炎和心肌梗死在治疗和预后方面差异很大。本文所呈现的2个病例说明了这些困难，并给出了诊断和治疗指南。
