Unusual STEMI Mimicker: A Case Report

Chest pain from myocarditis may resemble typical angina and may be accompanied by ECG changes including ST segment elevation. Acute myocarditis is a known cause of ST elevation but there are no reported cases of acute myocarditis presenting as transient ST elevation in a specific coronary territory. We report the case of a young male who presented as STEMI but his coronary angiogram was normal and ST elevation settled down immediately after coronary angiography. Hence, a high index of suspicion in an appropriate clinical setting can avoid inadvertent coronary angiography or thrombolysis in these patients.

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Publication Details

Journal
Indian Journal of Clinical Cardiology
Published
2025-02-12
DOI
https://doi.org/10.1177/26324636251318786
Primary Topic
Viral Infections and Immunology Research
Type
article
Field-Weighted Citation Impact
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article

Unusual STEMI Mimicker: A Case Report

Ishtiyaq Masood
Indian Journal of Clinical Cardiology
Viral Infections and Immunology Research
article

Unusual STEMI Mimicker: A Case Report

Ishtiyaq Masood
article en

Abstract

Chest pain from myocarditis may resemble typical angina and may be accompanied by ECG changes including ST segment elevation. Acute myocarditis is a known cause of ST elevation but there are no reported cases of acute myocarditis presenting as transient ST elevation in a specific coronary territory. We report the case of a young male who presented as STEMI but his coronary angiogram was normal and ST elevation settled down immediately after coronary angiography. Hence, a high index of suspicion in an appropriate clinical setting can avoid inadvertent coronary angiography or thrombolysis in these patients.

Indian Journal of Clinical CardiologyVol. 6(3)
Max Healthcare (IN)
Openalex Percentile: Top 96%
Viral Infections and Immunology Research
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