Myopericarditis complicated with cardiogenic shock mimicking acute coronary syndrome with ST elevation in a patient with hyperthyroidism and diabetes mellitus

被引：0
|
作者：
Kukla, Piotr [1 ]
Bryniarski, Leszek [2 ]
Bromblik, Alicja [1 ]
Szczuka, Kazimierz [1 ]
Kawecka-Jaszcz, Kalina [2 ]
机构：
[1] Szpital Specjalistyczny H Klimontowicza, Oddzial Wewnetrzny, PL-38300 Gorlice, Poland
[2] Uniwersytetu Jagiellonskiego, Coll Med, Inst Kardiol, Klin Kardiol & Nadcisnienia Tetniczego 1, Krakow, Poland
来源：
KARDIOLOGIA POLSKA | 2008年 / 66卷 / 09期
关键词：
myopericarditis; myocardial infarction; electrocardiogram; pericarditis; myocarditis;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We describe a case of a 56 year old man with myopericarditis complicated with cardiogenic shock within first 3 days, mimicking on admission acute myocardial infarction with ST elevation in inferior ECG leads. Additionally, patient presented hyperthyroidism and totally decompensated diabetes mellitus. He required during the first 3 days intravenous infusion of inotropic agents. Cardiac enzymes levels were elevated. Akinesia in mid-inferior and mid-posterior regions in ECHO was observed. On the 10(th) day ST segment elevation in I, II, V-3-V-6 and ST depression in aVR was observed in ECG. After stabilisation patient underwent coronarography which showed normal coronary arteries. The final diagnosis was acute myopericarditis complicated with acute heart failure and cardiogenic shock.
引用
收藏
页码：982 / 986
页数：5
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