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Previous Volume 328:100-104 January 14, 1993 Number 2 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Myocarditis occasionally masquerades as acute myocardial infarction because patients may present with severe chest pain, electrocardiographic changes, and elevated serum levels of creatine kinase. In patients with normal coronary arteries who presumably died of acute myocardial infarction, myocarditis has been reported as an incidental abnormality at autopsy^1,2,3,4. Although there have been anecdotal clinical reports of myocarditis mimicking myocardial infarction in patients with normal coronary arteries, this association has almost always relied on a demonstration of diffuse electrocardiographic abnormalities or a preceding viral illness in young patients with few coronary risk factors^5,6,7. In most cases no definitive diagnosis was . . . [Full Text of this Article]

Case Reports

Patients with Myocarditis Mimicking Myocardial Infarction

            Clinical Presentation

            Coronary Angiography and Left Ventriculography

            Antimyosin Scintigraphy and Endomyocardial Biopsy

            Treatment and Follow-up

Patients with Myocardial Infarction

Discussion

Source Information

From the Cardiac Unit (J.N., B.A.K., G.W.D., I.F.P., T.Y.), Division of Nuclear Medicine (J.N., B.A.K., H.W.S., T.Y.), and Department of Pathology (J.F.S., J.T.F.), Massachusetts General Hospital; Harvard Medical School (J.N., B.A.K., G.W.D., I.F.P., J.F.S., J.T.F., H.W.S., E.H., T.Y.); Northeastern University (J.N., B.A.K.); and Harvard School of Public Health (E.H.) -- all in Boston.

Address reprint requests to Dr. Yasuda at the Cardiac Unit and Division of Nuclear Medicine, Tilton 2, Massachusetts General Hospital, 32 Fruit St., Boston, MA 02114.

References

Related Letters:

Acute Myocarditis Masquerading as Acute Myocardial Infarction
Mascarenhas D.A.N., Spodick D. H., Dec G. W., Narula J., Yasuda T.
Extract | Full Text  
N Engl J Med 1993; 328:1714-1715, Jun 10, 1993. Correspondence

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