Kumar A, Bagur R, Béliveau P, Potvin JM, Levesque P, Fillion N, Tremblay B, Larose &, Gaudreault V. Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction. World J Cardiol 2014; 6(9): 1045-1048 [PMID: 25276306 DOI: 10.4330/wjc.v6.i9.1045]
Corresponding Author of This Article
Rodrigo Bagur, MD, PhD, FAHA, Attending Cardiologist, Interventional Cardiologist, Division of Cardiology, Department of Medicine, Quebec University Hospital Centre, 11 côte du Palais, L’Hotel-Dieu de Québec, Quebec City, Quebec, G1R 2J6, Canada. rodrigo.bagur@fmed.ulaval.ca
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Sep 26, 2014; 6(9): 1045-1048 Published online Sep 26, 2014. doi: 10.4330/wjc.v6.i9.1045
Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction
Andreas Kumar, Rodrigo Bagur, Patrick Béliveau, Jean-Michel Potvin, Pierre Levesque, Nancy Fillion, Benoit Tremblay, Éric Larose, Valérie Gaudreault
Andreas Kumar, Rodrigo Bagur, Patrick Béliveau, Jean-Michel Potvin, Pierre Levesque, Nancy Fillion, Benoit Tremblay, Valérie Gaudreault, Division of Cardiology, Department of Medicine, Quebec University Hospital Centre, Quebec, G1R 2J6, Canada
Andreas Kumar, Rodrigo Bagur, Patrick Béliveau, Jean-Michel Potvin, Pierre Levesque, Nancy Fillion, Benoit Tremblay, Valérie Gaudreault, Department of Medicine, Laval University, Quebec City, Quebec, G1R 2J6, Canada
Éric Larose, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, G1V 4G5, Canada
Author contributions: Kumar A, Bagur R and Levesque P directly participated in the case, conception, design of study, acquisition of data and drafting the article; Kumar A, Bagur R, Béliveau P, Potvin JM, Levesque P, Fillion N, Tremblay B, Larose É and Gaudreault V contributed to manuscript writing, including revising it critically for important intellectual content; Kumar A and Bagur R contributed to supportive work, including technology and materials support; all authors approved the final version of the manuscript to be published and report no financial relationships or conflicts of interest regarding the content herein.
Correspondence to: Rodrigo Bagur, MD, PhD, FAHA, Attending Cardiologist, Interventional Cardiologist, Division of Cardiology, Department of Medicine, Quebec University Hospital Centre, 11 côte du Palais, L’Hotel-Dieu de Québec, Quebec City, Quebec, G1R 2J6, Canada. rodrigo.bagur@fmed.ulaval.ca
Telephone: +1-418-6915750 Fax: +1-418-6915415
Received: February 25, 2014 Revised: April 14, 2014 Accepted: July 17, 2014 Published online: September 26, 2014 Processing time: 215 Days and 0.7 Hours
Abstract
A 24-year-old healthy man consulted to our center because of typical on-and-off chest-pain and an electrocardiogram showing ST-segment elevation in inferior leads. An urgent coronary angiography showed angiographically normal coronary arteries. Cardiovascular magnetic resonance imaging confirmed acute myocarditis. Although acute myocarditis triggering coronary spasm is an uncommon association, it is important to recognize it, particularly for the management for those patients presenting with ST-segment elevation and suspect myocardial infarction and angiographically normal coronary arteries. The present report highlights the role of cardiovascular magnetic resonance imaging to identify acute myocarditis as the underlying cause.
Core tip: The present report highlights the role of cardiovascular magnetic resonance imaging to identify acute myocarditis as the underlying cause of coronary spasm presenting with ST-segment elevation myocardial infarction in a young healthy man.
