Sztajzel J, Reymond J M, Adamec J, Rutishauser W, Righetti A
Centre de cardiologie, Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr. 1994 Nov 12;124(45):2026-31.
We describe 3 patients with an initial diagnosis of myocardial infarction, in whom a definitive diagnosis of myocarditis was subsequently established. All had precordial chest pain, electrocardiographic changes, elevated cardiac enzyme levels and regional wall motion abnormalities of the left ventricle compatible with myocardial infarction. During follow-up, all symptoms subsided and electrocardiographic tracings normalized. Regional wall motion abnormalities disappeared in two and persisted in one patient. These findings show that myocarditis may mimic myocardial infarction, and that the definitive diagnosis is generally established retrospectively.
我们描述了3例最初诊断为心肌梗死的患者,随后确诊为心肌炎。所有患者均有胸前区胸痛、心电图改变、心肌酶水平升高以及与心肌梗死相符的左心室节段性室壁运动异常。在随访期间,所有症状均消退,心电图描记恢复正常。两名患者的节段性室壁运动异常消失,一名患者持续存在。这些发现表明,心肌炎可能酷似心肌梗死,并且确诊通常是回顾性的。