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Visual Diagnosis in Emergency Medicine| Volume 58, ISSUE 6, P962-966, June 2020

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Acute Myocarditis Triggers Coronary Artery Spasm: A Rare Association

  • Yi Tang
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Hua Yang
    Affiliations
    Department of Electrocardiography, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Peng Liu
    Affiliations
    Department of Radiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Yanfeng Zeng
    Affiliations
    Department of Radiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Zhengyu Liu
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Mingxiang Tang
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Jin He
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Jianqiang Peng
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Hongwei Pan
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Yi Zhang
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
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  • Zhaofen Zheng
    Correspondence
    Reprint Address: Zhaofen Zheng, PhD, Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, 61 Jie Fang Xi Rd, Furong District, Changsha, 410000, Hunan, China
    Affiliations
    Department of Cardiology, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Normal University, Changsha, Hunan, China
    Search for articles by this author
      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.
      Figure thumbnail gr1
      Figure 1Electrocardiogram showed sinus tachycardia (101 beats/min) and mild elevation of ST-segment in precordial leads V2–V6 (white arrow).
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