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Previous Volume 356:1153-1162 March 15, 2007 Number 11 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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Presentation of Case

Dr. Steven J. Russell (Medicine): A 48-year-old man was admitted to this hospital in the early spring because of a 20-hour history of chest pain. The pain was substernal and was exacerbated when the patient was supine and inhaled deeply; it did not radiate and was not associated with shortness of breath, palpitations, nausea, or vomiting. The patient initially assumed that the pain was caused by heartburn, but it worsened overnight, and he visited his primary care physician in the morning. An electrocardiogram showed diffuse ST-segment elevation (2 to 4 mm) and PR-segment depression, and the patient was taken to . . . [Full Text of this Article]

Differential Diagnosis

Chest Pain with ST-Segment Elevation on Electrocardiogram

Acute Pericarditis

Ventricular Tachycardia

Myocarditis

Diagnostic Testing for Myocarditis

Causes of Myocarditis

Dr. Gregory D. Lewis's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Cardiology Division (G.D.L., G.H.) and the Infectious Disease Division (C.B.H., J.R.B.), Department of Medicine, Massachusetts General Hospital; and the Department of Medicine Harvard Medical School (G.D.L., C.B.H., G.H., J.R.B.).

Related Letters:

Case 8-2007: A Man with Chest Pain Followed by Cardiac Arrest
Hoffman N. G., Cookson B. T., Butterton J. R.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:2652-2653, Jun 21, 2007. Correspondence

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• Hoffman, N. G., Cookson, B. T., Butterton, J. R. (2007). Case 8-2007: A Man with Chest Pain Followed by Cardiac Arrest. NEJM 356: 2652-2653 [Full Text]