A 15-year-old boy presented to the local hospital with 19 h of chest tightness. The electrocardiogram (ECG) showed sinus rhythm with mild ST-segment elevation in precordial leads V2–V6 (Figure 1), troponin I was 1.87 ng/mL (0–0.30 ng/mL), and creatine kinase-MB fraction was 51 U/L (0–25 U/L). Transthoracic echocardiography demonstrated a normal left ventricular ejection fraction (69%) and no regional wall motion abnormalities.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Emergency Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Systematic review of patients presenting with suspected myocardial infarction and nonobstructive coronary arteries.Circulation. 2015; 131: 861-870
- Cardiac magnetic resonance assessment of myocarditis.Circ Cardiovasc Imaging. 2013; 6: 833-839
- Acute viral myocarditis.Eur Heart J. 2008; 29: 2073-2082
- Coronary artery vasospasm complicating acute myocarditis. A rare association.West J Med. 1988; 148: 664-669
- Coronary artery spasm demonstrated by coronary angiography in a patient with acute myocarditis resembling acute myocardial infarction; a case report.Jpn J Med. 1991; 30: 573-577
- Coronary artery spasm in lymphocytic myocarditis: a rare cause of acute myocardial infarction.Heart. 2005; 91: 202
- Coronary artery vasospasm and acute myocarditis: a rare association.Rev Port Cardiol. 2010; 29: 1879-1888
- Acute myocarditis triggering coronary spasm and mimicking acute myocardial infarction.World J Cardiol. 2014; 6: 1045-1048
- Myocarditis presenting as variant angina: a rare presentation.Arch Med Sci. 2018; 14: 1175-1179
- Coronary arterial smooth muscle contraction by a substance released from platelets: evidence that it is thromboxane A2.Science. 1976; 193: 1135-1137
- Platelet aggregates in peripheral and coronary-sinus blood in patients with spontaneous coronary-artery spasm.Lancet. 1980; 2: 829-831
- Suppression of coronary artery spasm by the Rho-kinase inhibitor fasudil in patients with vasospastic angina.Circulation. 2002; 105: 1545-1547
Published online: May 03, 2020
Accepted: March 18, 2020
Received in revised form: March 7, 2020
Received: November 24, 2019
© 2020 Elsevier Inc. All rights reserved.