Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain

• Main Authors: Kenan Kocabay, Mürvet Neslihan Çolak, Fatih Kaya, Muhammet Mesut Nezir, Ramazan Cahit Temizkan
• Format: Article
• Language: English
• Published: SERNEV 2017-08-01
• Series: Family Practice and Palliative Care
• Subjects: adolescent; myocarditis; chest pain; miyokarditler; adölesan; göğüs ağrısı
• Online Access: https://dergipark.org.tr/en/pub/fppc/issue/30852/295559

In children patients with chest pain, ST segment elevation and increase in cardiac markers, myocarditis must be the first diagnosis to consider if there is no cardiac disease history. Sometimes myocarditis can be confounded by some diseases like acute myocardial infarction. Although the electrocardiographic (ECG) signs are different, acute myocardial infarction and acute myocarditis can be duplicate occasionally. Treatments and prognosis of these two diseases are totally different. Differential diagnosis is life saver in these situations. Therefore, if ST-T changes in ECG and increased cardiac markers are assessed in patients with chest pain; differential diagnosis, treatment and referring the patient to a pediatric cardiology department for observation are mandatory. We introduce two patients aged 14 and 16, who have chestpain, spesific ST-T changes and increase in cardiac markers.