Acute Myocarditis Versus Myocardial Infarction: Evaluation and Management of the Young Patient with Prolonged Chest Pain--Case Reports

Stratmann, Henry G.
March 1988
Angiology;Mar1988 Part 1, Vol. 39 Issue 3, p253
Academic Journal
Both acute myocarditis and myocardial infarction must be considered in the differential diagnosis of the young patient with angina-like chest pain. Initial assessment may be difficult, since both diseases may produce similar clinical presentations, electrocardiographic changes, and elevations in cardiac enzymes. Early differentiation is important, however, since myocarditis and myocardial infarction differ greatly in their management and prognosis. These difficulties are illustrated by the 2 cases presented, and guidelines for diagnosis and treatment are given.


Related Articles

  • Prognosis of stable angina pectoris: why we need larger population studies with higher endpoint resolution. Timmis, Adam D.; Feder, Gene; Hemingway, Harry // Heart;Jul2007, Vol. 93 Issue 7, p786 

    The prognosis of angina was described as "unhappy" by the Framingham investigators and as little different from that of 1-year survivors of acute myocardial infarction. Yet recent clinical trials now report that angina has a good prognosis with adverse outcomes reduced to "normal levels". These...

  • Painless smoking.  // New Scientist;12/1/90, Vol. 128 Issue 1745, p26 

    Reports on the research finding that cigarette smoking masks the chest pain that serves as a warning sign of a heart attack. Report of team of researchers from North Carolina at a meeting of the American Heart Association; Finding that cigarettes lessen a smoker's ability to feel pain.

  • Corrigendum.  // Annals of Clinical Biochemistry;Mar2012, Vol. 49 Issue 2, p208 

    Corrections to the articles "Comparison of high sensitivity and contemporary troponin assays for the early detection of acute myocardial infarction in the emergency department" and "High sensitivity troponin outperforms contemporary assays in predicting major adverse cardiac events up to two...


    This article studies simple risk assessment for non-selected chest pain admissions. Markers associated with an adverse prognosis following admission with unstable angina include previous myocardial infarction (MI), significant ST segment deviation and an elevated cardiac troponin T. Risk...

  • Prognostic value of coronary computed tomography angiography in diabetic patients without chest pain syndrome. den Hoogen, Inge; Graaf, Michiel; Roos, Cornelis; Leen, Aukelien; Kharagjitsingh, Aan; Wolterbeek, Ron; Kroft, Lucia; Wouter Jukema, J.; Bax, Jeroen; Scholte, Arthur; van den Hoogen, Inge J; de Graaf, Michiel A; Roos, Cornelis J; Leen, Aukelien C; Kharagjitsingh, Aan V; Kroft, Lucia J; Bax, Jeroen J; Scholte, Arthur J // Journal of Nuclear Cardiology;Feb2016, Vol. 23 Issue 1, p24 

    Aims: Diabetic patients with coronary artery disease (CAD) are often free of chest pain syndrome. A useful modality for non-invasive assessment of CAD is coronary computed tomography angiography (CTA). However, the prognostic value of CAD on coronary CTA in diabetic patients without...

  • ACC/AHA Pocket Guidelines on Acute MI and Chronic Stable Angina. Preboth, Monica // American Family Physician;10/1/2000, Vol. 62 Issue 7, p1707 

    Reports on the collaboration of the American College of Cardiology (ACC) and the American Heart Association (AHA) on a series of guidelines to provide physicians with a quick reference to the diagnostic and therapeutic recommendations contained in the ACC/AHA practice guidelines for acute...

  • Your ED's next acute MI patient might not be what you're expecting.  // ED Nursing;Apr2010, Vol. 13 Issue 6, p61 

    Atypical symptoms of acute myocardial infarction (AMI) are more common than expected, according to a just-published study. To avoid missing an AMI in your ED: • don't exclude AMI even if pain duration is five minutes or less; • obtain an immediate EKG if there is no apparent...

  • Novel imaging techniques reveal the aetiology of a pseudoinfarction ECG pattern. Leftheriotis, D.; Ikonomidis, I.; Iliodromitis, E. K.; Kremastinos, D. Th. // Heart;Sep2006, Vol. 92 Issue 9, p1338 

    The article presents a case of a 64-year-old patient complaining of chest discomfort with an electrocardiogram compatible to myocardial infarction. Transthoracic echocardiography showed a large mass in the right ventricle attached to the lateral. The case presents a new diagnostic application of...

  • The Language of the Heart. Agatston, Arthur // Prevention;May2008, Vol. 60 Issue 5, p39 

    The author reports on the symptoms patients feel when having a heart attack. According to the article, symptoms which people should be concerned about include persistent chest pain, varied shortness of breath and unusual upper-body pain. Steps which people can take to learn if the pain they are...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics