Clinical Myocarditis Masquerading as Acute Coronary Syndrome

被引:23
作者
Kern, Jeremy [3 ]
Modi, Rushabn [3 ]
Atalay, Michael K. [3 ,4 ]
Kochilas, Lazaros K. [1 ,2 ,3 ]
机构
[1] Brown Univ, Dept Pediat, Providence, RI 02912 USA
[2] Brown Univ, Div Pediat Cardiol, Providence, RI 02912 USA
[3] Brown Univ, Hasbro Childrens Hosp, Warren Alpert Med Sch, Providence, RI 02912 USA
[4] Rhode Isl Hosp, Dept Diagnost Imaging, Providence, RI USA
关键词
CARDIAC TROPONIN-I; DIAGNOSIS; OUTCOMES; INJURY;
D O I
10.1016/j.jpeds.2008.10.018
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We report a series of children with clinical myocarditis presenting with chest pain and elevated cardiac troponin I mimicking coronary syndrome. Our series illustrates the complementary role the magnetic resonance imaging and computed tomographic angiography can play in the evaluation of these patients. Elevated cardiac troponin I levels were found to be related to the extent of myocardial involvement, but did not necessarily indicate poor prognosis in children with myocarditis. (J Pediatr 2009;154:612-5)
引用
收藏
页码:612 / 615
页数:4
相关论文
共 11 条
[1]   Cardiac troponin I in pediatrics: Normal values and potential use in the assessment of cardiac injury [J].
Hirsch, R ;
Landt, Y ;
Porter, S ;
Canter, CE ;
Jaffe, AS ;
Ladenson, JH ;
Grant, JW ;
Landt, M .
JOURNAL OF PEDIATRICS, 1997, 130 (06) :872-877
[2]   Myocardial late enhancement in contrast-enhanced cardiac MRI:: Distinction between infarction scar and non-infarction-related disease [J].
Hunold, P ;
Schlosser, T ;
Vogt, FM ;
Eggebrecht, H ;
Schmermund, A ;
Bruder, O ;
Schüler, WO ;
Schüler, WO ;
Barkhausen, J .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2005, 184 (05) :1420-1426
[3]   Cardiac troponin I in acute pericarditis [J].
Imazio, M ;
Demichelis, B ;
Cecchi, E ;
Belli, R ;
Ghisio, A ;
Bobbio, M ;
Trinchero, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 42 (12) :2144-2148
[4]   Elevation of serum cardiac troponin I in noncardiac and cardiac diseases other than acute coronary syndromes [J].
Khan, IA ;
Tun, A ;
Wattanasauwan, N ;
Win, MT ;
Hla, TA ;
Hussain, A ;
Vasavada, BC ;
Sacchi, TJ .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1999, 17 (03) :225-229
[5]   Implication of different cardiac troponin I levels for clinical outcomes and prognosis of acute chest pain patients [J].
Kontos, MC ;
Shah, R ;
Fritz, LM ;
Anderson, FP ;
Tatum, JL ;
Ornato, JP ;
Jesse, RL .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (06) :958-965
[6]   Myocardial injury occurs earlier than myocardial inflammation in acute experimental viral myocarditis [J].
Lim, BK ;
Shin, JO ;
Choe, SC ;
Choi, SW ;
Jeong, JO ;
Seong, IW ;
Kim, DK ;
Jeon, ES .
EXPERIMENTAL AND MOLECULAR MEDICINE, 2005, 37 (01) :51-57
[7]   Myocarditis - Current trends in diagnosis and treatment [J].
Magnani, JW ;
Dec, GW .
CIRCULATION, 2006, 113 (06) :876-890
[8]  
Sato Y, 2001, CIRCULATION, V103, P369
[9]   Noninvasive imaging in myocarditis [J].
Skouri, Hadi N. ;
Dec, G. William ;
Friedrich, Matthias G. ;
Cooper, Leslie T. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (10) :2085-2093
[10]   Elevations of cardiac troponin I associated with myocarditis - Experimental and clinical correlates [J].
Smith, SC ;
Ladenson, JH ;
Mason, JW ;
Jaffe, AS .
CIRCULATION, 1997, 95 (01) :163-168