- Oral presentation
- Open Access
Non-rheumatic streptococcal myocarditis mimicking acute ST-segment elevation myocardial infarction: characterization by cardiac magnetic resonance
© Mokabberi et al; licensee BioMed Central Ltd. 2009
- Published: 28 January 2009
- Cardiac Magnetic Resonance
- Late Gadolinium Enhancement
- Invasive Coronary Angiography
- Acute Myocarditis
- Wall Motion Score Index
Acute myocarditis may mimic acute ST-segment elevation myocardial infarction (STEMI) and result in unnecessary invasive coronary angiography. Cardiac magnetic resonance (CMR) can differentiate myocarditis from acute ischemic myocardial injury and provide a basis for adoption of an appropriate treatment strategy in such patients.
The aim of this observation was to determine the diagnostic value of CMR in assessment of patients with acute non-rheumatic streptococcal myocarditis.
Clinical and Imaging Characteristic in 6 Patients
Echo LVEF (%)
Segments with LGE
Acute non-rheumatic streptococcal myocarditis may mimic STEMI. Clinical history (young individual, preceding pharyngeal infection), laboratory evidence of acute streptococcal infection and characteristic CMR findings can distinguish these patients from those with acute STEMI who benefit from primary coronary intervention.
This article is published under license to BioMed Central Ltd.