FOCAL MYOPERICARDITIS AS A RARE BUT IMPORTANT DIFFERENTIAL DIAGNOSIS OF MYOCARDIAL INFARCTION, A CASE SERIES

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NOZARI YOUNES; TAJDINI MASIH; MEHRANI MEHDI; GHADERPANAH ROSA

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Journal Paper

Paper Information

Journal: Archives of Academic Emergency Medicine Year:2016 | Volume:4 | Issue:3 Page(s): 159-162

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Information Journal Paper

Title

FOCAL MYOPERICARDITIS AS A RARE BUT IMPORTANT DIFFERENTIAL DIAGNOSIS OF MYOCARDIAL INFARCTION, A CASE SERIES

Author(s)

NOZARI YOUNES | TAJDINI MASIH | MEHRANI MEHDI | GHADERPANAH ROSA | Issue Writer Certificate

Keywords

CORONARY ANGIOGRAPHY

ELECTROCARDIOGRAPHY

MYOCARDIAL INFARCTION

MYOCARDITIS

EMERGENCY MEDICINE

Abstract

Distinguishing ST-elevation MYOCARDIAL INFARCTION (STEMI) differential diagnoses is more challenging. Myopericarditis is one of these differentials that results from viral involvement of myocardium and pericardium. Myopericarditis in focal form can mimic electrocardiogram (ECG) features of acute STEMI and elevate cardiac enzymes. MYOCARDITIS patients may face thrombolytic related complications such as intracranial bleeding, myocardial rupture, and hemorrhagic cardiac tamponade. Furthermore, re-administration of streptokinase (a common thrombolytic agent in our country) is banned for at least six months of previous administration; however, it can save patients lives in emergency conditions such as massive pulmonary embolism. It seems that, when dealing with a young patient presenting to emergency department with acute chest pain and ST segment elevation on ECG, we should consider focal MYOCARDITIS as an important but rare differential diagnosis of STEMI. In this report, we describe three cases of focal MYOCARDITIS, primarily misdiagnosed as STEMI.

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APA: Copy

NOZARI, YOUNES, TAJDINI, MASIH, MEHRANI, MEHDI, & GHADERPANAH, ROSA. (2016). FOCAL MYOPERICARDITIS AS A RARE BUT IMPORTANT DIFFERENTIAL DIAGNOSIS OF MYOCARDIAL INFARCTION, A CASE SERIES. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), 4(3), 159-162. SID. https://sid.ir/paper/339614/en

Vancouver: Copy

NOZARI YOUNES, TAJDINI MASIH, MEHRANI MEHDI, GHADERPANAH ROSA. FOCAL MYOPERICARDITIS AS A RARE BUT IMPORTANT DIFFERENTIAL DIAGNOSIS OF MYOCARDIAL INFARCTION, A CASE SERIES. ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY)[Internet]. 2016;4(3):159-162. Available from: https://sid.ir/paper/339614/en

IEEE: Copy

YOUNES NOZARI, MASIH TAJDINI, MEHDI MEHRANI, and ROSA GHADERPANAH, “FOCAL MYOPERICARDITIS AS A RARE BUT IMPORTANT DIFFERENTIAL DIAGNOSIS OF MYOCARDIAL INFARCTION, A CASE SERIES,” ARCHIVES OF ACADEMIC EMERGENCY MEDICINE (EMERGENCY), vol. 4, no. 3, pp. 159–162, 2016, [Online]. Available: https://sid.ir/paper/339614/en

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