| Acute myocarditis mimicking acute myocardial infarction: a clinical nightmare with forensic implications. | |
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MedLine Citation:
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PMID: 16310266 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Authors present the case of the sudden death of a 30-year-old man, 3 h since his hospitalization by the onset of aspecific chest pain. ECG findings revealed the presence of localized ST segment elevation in precordial leads (V1-V4) and DII-DII, and aVF mimicking acute antero-inferior myocardial infarction. A diagnosis of acute antero-inferior myocardial infarction was advanced and the patient introduced to thrombolytic therapy. Suddenly, on ECG monitor, conduction abnormalities were early recorded (ventricular extrasystole) followed by ventricular tachycardia degenerating in fatal ventricular fibrillation. An alleged medical malpractice was sued against the cardiologist. A complete immunohistochemical study was performed. Histologically, the heart presented massive interstitial lymphocytic infiltrate and focal myocytes necrosis. The diagnosis of acute lymphocytic myocarditis was established as the cause of death. |
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Authors:
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Cristoforo Pomara; Angelo Villani; Stefano D'Errico; Irene Riezzo; Emanuela Turillazzi; Vittorio Fineschi |
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Publication Detail:
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Type: Case Reports; Letter Date: 2005-11-28 |
Journal Detail:
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Title: International journal of cardiology Volume: 112 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-08-25 Completed Date: 2007-02-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Ireland |
Other Details:
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Languages: eng Pagination: 119-21 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Death, Sudden, Cardiac / etiology Diagnosis, Differential Diagnostic Errors Electrocardiography Fatal Outcome Heart Conduction System / pathology, physiopathology Humans Male Myocardial Infarction / diagnosis*, pathology, physiopathology Myocarditis / diagnosis*, pathology, physiopathology Tachycardia, Ventricular / pathology, physiopathology Ventricular Fibrillation / etiology, pathology, physiopathology Ventricular Premature Complexes / pathology, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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