Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a unique disorder that manifests as an acute myocardial infarction clinically without overt coronary arteries obstruction on angiography. Herein, we report a 17-year-old male presented with a chest pain occurring 3 hours befor...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Interna Publishing
2024-01-01
|
| Series: | Acta Medica Indonesiana |
| Subjects: | |
| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/2345 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849721446680494080 |
|---|---|
| author | Giovanni Reynaldo Rachmat Hamonangan Princella Monica |
| author_facet | Giovanni Reynaldo Rachmat Hamonangan Princella Monica |
| author_sort | Giovanni Reynaldo |
| collection | DOAJ |
| description |
Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a unique disorder that manifests as an acute myocardial infarction clinically without overt coronary arteries obstruction on angiography. Herein, we report a 17-year-old male presented with a chest pain occurring 3 hours before admission and fever lasting for 2 days. Electrocardiogram examination showed ST elevation in lead II, III, aVF and V3-V6. Laboratory tests results showed a normal leukocyte level of 9850/µL, an elevated troponin of 3.55 ng/mL and an elevated quantitative CRP of 46 mg/L. Coronary angiography performed, indicating 20-30% stenosis of the left anterior descending artery, left circumflex artery and right coronary artery, whereas in typical acute myocardial injury, angiography shows >50% coronary stenosis. Additional cardiac MRI examination showed a fulfillment of Lake Louis Criteria for myocarditis, with further findings of acute myocardial edema in the lateral wall of left ventricle, with left ventricle ejection fraction of 59.73%. As researchers are still working on the definition of MINOCA, present knowledge of the causes, pathophysiology, clinical features, or specific phenotypes of MINOCA is also limited. A stepwise diagnostic approach is needed to diagnose MINOCA, with subsequent differential diagnosis exclusion.
|
| format | Article |
| id | doaj-art-478f707a0f4c4316bd79fe1baa42dae1 |
| institution | DOAJ |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-478f707a0f4c4316bd79fe1baa42dae12025-08-20T03:11:39ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-01-01554Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case ReportGiovanni Reynaldo0Rachmat Hamonangan1Princella Monica2St. Carolus Hospital, Jakarta, IndonesiaDivision of Cardiovascular, Department of Internal Medicine, St. Carolus Hospital, Jakarta, Indonesia.St. Carolus Hospital, Jakarta, Indonesia Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a unique disorder that manifests as an acute myocardial infarction clinically without overt coronary arteries obstruction on angiography. Herein, we report a 17-year-old male presented with a chest pain occurring 3 hours before admission and fever lasting for 2 days. Electrocardiogram examination showed ST elevation in lead II, III, aVF and V3-V6. Laboratory tests results showed a normal leukocyte level of 9850/µL, an elevated troponin of 3.55 ng/mL and an elevated quantitative CRP of 46 mg/L. Coronary angiography performed, indicating 20-30% stenosis of the left anterior descending artery, left circumflex artery and right coronary artery, whereas in typical acute myocardial injury, angiography shows >50% coronary stenosis. Additional cardiac MRI examination showed a fulfillment of Lake Louis Criteria for myocarditis, with further findings of acute myocardial edema in the lateral wall of left ventricle, with left ventricle ejection fraction of 59.73%. As researchers are still working on the definition of MINOCA, present knowledge of the causes, pathophysiology, clinical features, or specific phenotypes of MINOCA is also limited. A stepwise diagnostic approach is needed to diagnose MINOCA, with subsequent differential diagnosis exclusion. http://www.actamedindones.org/index.php/ijim/article/view/2345MINOCAMyocarditisMyocardial InfarctionAngiographyChest PainElectrocardiogram |
| spellingShingle | Giovanni Reynaldo Rachmat Hamonangan Princella Monica Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report Acta Medica Indonesiana MINOCA Myocarditis Myocardial Infarction Angiography Chest Pain Electrocardiogram |
| title | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report |
| title_full | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report |
| title_fullStr | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report |
| title_full_unstemmed | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report |
| title_short | Myocarditis Presenting as Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA) in a Young Man: A Case Report |
| title_sort | myocarditis presenting as myocardial infarction with non obstructive coronary arteries minoca in a young man a case report |
| topic | MINOCA Myocarditis Myocardial Infarction Angiography Chest Pain Electrocardiogram |
| url | http://www.actamedindones.org/index.php/ijim/article/view/2345 |
| work_keys_str_mv | AT giovannireynaldo myocarditispresentingasmyocardialinfarctionwithnonobstructivecoronaryarteriesminocainayoungmanacasereport AT rachmathamonangan myocarditispresentingasmyocardialinfarctionwithnonobstructivecoronaryarteriesminocainayoungmanacasereport AT princellamonica myocarditispresentingasmyocardialinfarctionwithnonobstructivecoronaryarteriesminocainayoungmanacasereport |