The Dilemma of acute myocarditis and acute myocardial infarction: A case report

Gogus agrisi ve St segment elevasyonu ile gelen hastalarda dusunulecek ilk tani akut miyokart infarktusudur. Ancak akut miyokart infarktusu bazen miyokardit gibi bazi hastaliklarla karisabilir. Akut miyokart infarktusu ve miyokardit ayrimi hikaye, fizik muayene, elektrokardiyografi, ekokardiyografi ve kardiyak-spesifik enzimlerle yapilir.Bu iki hastaligin tedavi ve prognozu birbirinden tamamen farklidir. Ayirici taniya varmak ve koroner anjiografi karari verebilmek hayat kurtaricidir. Bu iki hastaligin ayiriminda elektrokardiyografi cok onemlidir. Elektrokardiyografi bulgulari farkli olmasina ragmen, bazen akut miyokart infarktusu ve akut miyokardit birbirini taklit edebilir. Fokal ST elevasyonu ile birlikte resiprokal ST depresyonu bulunan 22 yasinda miyokardit tanisi konulan bir hastayi sunduk. The first diagnosis in patients with chest pain and ST segment elevation is acute myocardial infarction. But acute myocardial infarction sometimes can be confused with other diseases such as myocarditis. Discrimination of acute myocardial infarction and acute myocarditis can be made by history, physical examination, electrocardiography, echocardiography and cardiac-specific enzymes. The treatment and prognosis of those two diseases are completely different. The differential diagnosis and decision of coronary angiography is lifesaving. Electrocardiography is very important in the differentiation of these two diseases. Although ECG findings are different, acute myocarditis and acute myocardial infarction sometimes imitate each other. 22 years old male patient diagnosed as myocarditis and focal ST elevation with reciprocal ST depression presented in this case.