Weerts Victor, Lempereur Mathieu, Léonard Philippe, Lancellotti Patrizio
Service de Cardiologie, CHU Liège, Belgique.
Service d'Infectiologie, CHU Liège, Belgique.
Rev Med Liege. 2023 Mar;78(3):141-146.
Myocarditis is a relatively uncommon and underdiagnosed heart disease. Its clinical presentation is variable, from pauci-symptomatic to a symptomatology of sudden chest pain. The latter mimics cardiological emergencies and must therefore be quickly discerned to guide the rest of the treatment. The treatment is mainly supportive and rarely directly etiological. This is a pathology that resurfaced with the onset of the COVID-19 pandemic but also with vaccination. We present here the case of a mRNA SARS-CoV-2 vaccine-induced myocarditis whose clinical manifestations impose a rapid decision concerning the differential diagnosis with an acute coronary syndrome.
心肌炎是一种相对罕见且诊断不足的心脏病。其临床表现多样,从症状轻微到突发胸痛症状不等。后者类似心脏急症,因此必须迅速识别以指导后续治疗。治疗主要是支持性的,很少直接针对病因。这种疾病在新冠疫情爆发时以及接种疫苗后再次出现。我们在此介绍一例由mRNA新冠病毒疫苗引起的心肌炎病例,其临床表现要求对与急性冠状动脉综合征的鉴别诊断迅速做出决定。