Hussain Ali, Iqbal Mubashar, Mohsin Gondal, Mirza Hassan A, Butt Muhammad Talha
Acute Medicine, Pinderfields General Hospital, Wakefield, GBR.
Respiratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, GBR.
Cureus. 2021 Jan 29;13(1):e12983. doi: 10.7759/cureus.12983.
Myocarditis is the inflammation of the myocardium and is a challenging diagnosis owing to the heterogeneity in its etiology, pathogenesis and clinical presentations. It often presents as an acute coronary syndrome (ACS) mimic and hence may pose both diagnostic and therapeutic challenges to treating physicians to reliably differentiate between these two entities. In this case, we discuss a young male whose initial presentation of chest pain was dubious of the acute coronary syndrome but detailed history, physical examination and by careful selection of non-invasive investigations including echo and cardiac magnetic resonance imaging (MRI), led to a diagnosis of acute myocarditis. This approach not only avoided undue radiation exposure to a young individual but also eluded the unnecessary treatment with potent antiplatelet and anticoagulation therapy.
心肌炎是心肌的炎症，由于其病因、发病机制和临床表现的异质性，诊断具有挑战性。它常表现为类似急性冠状动脉综合征（ACS），因此可能给治疗医生带来诊断和治疗方面的挑战，难以可靠地区分这两种疾病。在本病例中，我们讨论一名年轻男性，其最初的胸痛表现疑似急性冠状动脉综合征，但通过详细的病史、体格检查以及精心选择包括超声心动图和心脏磁共振成像（MRI）在内的非侵入性检查，最终诊断为急性心肌炎。这种方法不仅避免了对年轻个体的过度辐射暴露，还避免了不必要的强效抗血小板和抗凝治疗。
