Myocarditis instead of OMI

Hello everybody,

Here is an interesting case in emergency medicine involving an other “inappropriate” activation of the cath lab.

A 40-year-old patient, without cardiovascular factor was admitted to the ED for an epigastric pain irradiated in the shoulders.

No associated dyspnea, no palpitations and no syncope.

Attached is the patient's ECG on admission, scanned on PM Cardio.

The non interventional cardiologist suspected a myocardial infarction in the inferior territory.

Queen of Hearts did not conclude OMI.

Indeed coronary angiography showed that the coronary arteries were health.

As suspected during the medical transportation between the two hospitals (clinical context with enteritis and a descending PR on the ECG) a myocarditis was diagnosed based on cardiac RMN.

One more time QoH did the job …

Regards,

Frédéric Caruso, M.D