Document Detail

Acute myocarditis mimicking acute myocardial infarction: a clinical nightmare with forensic implications.
MedLine Citation:
PMID:  16310266     Owner:  NLM     Status:  MEDLINE    
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.
Cristoforo Pomara; Angelo Villani; Stefano D'Errico; Irene Riezzo; Emanuela Turillazzi; Vittorio Fineschi
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Publication Detail:
Type:  Case Reports; Letter     Date:  2005-11-28
Journal Detail:
Title:  International journal of cardiology     Volume:  112     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-25     Completed Date:  2007-02-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  119-21     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Death, Sudden, Cardiac / etiology
Diagnosis, Differential
Diagnostic Errors
Fatal Outcome
Heart Conduction System / pathology,  physiopathology
Myocardial Infarction / diagnosis*,  pathology,  physiopathology
Myocarditis / diagnosis*,  pathology,  physiopathology
Tachycardia, Ventricular / pathology,  physiopathology
Ventricular Fibrillation / etiology,  pathology,  physiopathology
Ventricular Premature Complexes / pathology,  physiopathology

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