Myopéricardite aiguë simulant un infarctus du myocarde : à propos d’une observation et revue de la littérature

Bouzerda, Abdelmajid

doi:10.11604/pamj.2015.21.70.6530

Pan Afr Med J

2015

DOI: 10.11604/pamj.2015.21.70.6530

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Myopéricardite aiguë simulant un infarctus du myocarde : à propos d’une observation et revue de la littérature

Abdelmajid Bouzerda¹

Abstract: Le diagnostic de myopéricardite aiguë est difficile surtout quand la présentation clinique mime un syndrome coronaire aiguë. Nous rapportons l'observation d'un patient âgé de 40 ans admis pour un syndrome coronarien aiguë ST+ chez qui la coronarographie réalisée en urgence montre un réseau coronaire angio-graphiquement sain. L'imagerie par résonance magnétique (IRM) permettra d'affirmer le diagnostic d'une myopéricardite. Cette observation confirme le rôle primordial de l'IRM cardiaque chez les patients présen… Show more

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2020

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Incidental Intramyocardial Bridging in a Myocarditis Patient Presenting With Focal ST Segment Depressions

Gupta¹,

Batool²,

Hashmi³

et al. 2020

Cureus

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Myopericarditis is an entity known to present with typical symptoms of viral prodrome and diffuse ST elevation (STE) and/or PR depressions on electrocardiogram (EKG). Atypical presentations of myocarditis such as focal STE have been cited in the literature, reflecting true coronary ischemia. However, myocarditis or pericarditis presenting with focal ST depressions is rarely seen. Myocarditis is usually overlooked as a differential for ST depressions seen on EKGs; hence, the case we present in this report highlights the importance of nonischemic causes presenting as ischemic changes on EKG. This case is unique as we have postulated a possible explanation for this finding. This report discusses the case of a young patient with myopericarditis presenting with focal ST depressions. This patient was also incidentally found to have intramyocardial bridging, usually a benign finding, on cardiac catheterization (which is shown in the case report). Our hypothesis is that the inflammation due to myocarditis in this patient led to inflammation of intramyocardial vessels, presenting as ST depressions. Since intramyocardial bridging is a common anomaly, we propose the question as to whether this could be a risk factor for sudden cardiac death and if it depends on the characteristic of the intramyocardial vessel. We would like to emphasize on the atypical presentations of this usual condition, a possible explanation for this finding, and the need for further testing for risk stratification in patients with this anomaly.

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Incidental Intramyocardial Bridging in a Myocarditis Patient Presenting With Focal ST Segment Depressions

Gupta¹,

Batool²,

Hashmi³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

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Myopéricardite aiguë simulant un infarctus du myocarde : à propos d’une observation et revue de la littérature

Cited by 1 publication

References 8 publications

Incidental Intramyocardial Bridging in a Myocarditis Patient Presenting With Focal ST Segment Depressions

Incidental Intramyocardial Bridging in a Myocarditis Patient Presenting With Focal ST Segment Depressions

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