Systematic Reviews
Copyright ©The Author(s) 2015.
World J Cardiol. Dec 26, 2015; 7(12): 931-937
Published online Dec 26, 2015. doi: 10.4330/wjc.v7.i12.931
Table 1 Diagnostic testing for reported case
Diagnostic testResult
Hemoglobin12.5 g/dL
WBC6.9 × 109/L
Kidney function and electrolytesWithin normal limits
Alkaline phosphatase33 IU/L
Aspartate aminotransferase42 IU/L
Lactate dehydrogenase325 IU/L
Troponin I (at presentation)6.23 ng/mL
Troponin I (6 h later)13.2 ng/mL
ECGST depression in V1 and V2 with ST elevations in V5 and V6
TTEEF of 40% with no regional wall motion abnormalities or pericardial fluid
CMRMultiple areas of abnormal sub-epicardial and mid-myocardial contrast hyper enhancement involving the posterior, inferior and anterior walls of the left ventricle, the anterior wall of right ventricle and the inter-ventricular septum reflecting multifocal biventricular myocarditis
Table 2 Clinical, electrocardiographic, laboratory, and imaging findings of non-typhoid Salmonella myocarditis
n (%)n1
Culture
Blood7 (29.1)24
Stool16 (66.6)24
Myocardial biopsy1 (4.1)24
Presenting sign or symptom
Dyspnea6 (25)24
Chest pain15 (62.5)24
Fever16 (66.6)24
Diarrhea5 (22.7)22
Abdominal pain15 (71.4)21
Hypotension5 (21.7)23
Tachycardia13 (56.5)23
ECG abnormalities
ST elevation12 (52.1)23
ST depression4 (17.3)23
T-wave inversion6 (26)23
Infero-lateral12 (52.1)23
Antero-lateral6 (26)23
Inflammatory markers
WBC > 10000/mm38 (40)20
Elevated troponin9 (69.2)13
Elevated CK10 (66.6)15
Elevated ESR or CRP9 (100)9
TTE
Reduced ejection fraction4 (36.4)11
Regional wall motion abnormality5 (45.5)11
Chest X-ray
Cardiomegaly3 (27.7)11
Pulmonary edema3 (27.7)11
CMR2 (100)2