open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28
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Case report
Myopericarditis complicated with cardiogenic shock mimicking acute coronary syndrome with ST elevation in a patient with hyperthyroidism and diabetes mellitus

Piotr Kukla, Leszek Bryniarski, Alicja Bromblik, Kazimierz Szczuka, Kalina Kawecka-Jaszcz
Kardiol Pol 2008;66(9):982-986.

open access

Vol 66, No 9 (2008)
Other
Published online: 2008-09-30
Submitted: 2012-12-28

Abstract

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 10th day ST segment elevation in I, II, V3–V6 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.

Abstract

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 10th day ST segment elevation in I, II, V3–V6 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.
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Keywords

myopericarditis; myocardial infarction; electrocardiogram; pericarditis; myocarditis

About this article
Title

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

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 9 (2008)

Pages

982-986

Published online

2008-09-30

Bibliographic record

Kardiol Pol 2008;66(9):982-986.

Keywords

myopericarditis
myocardial infarction
electrocardiogram
pericarditis
myocarditis

Authors

Piotr Kukla
Leszek Bryniarski
Alicja Bromblik
Kazimierz Szczuka
Kalina Kawecka-Jaszcz

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