A clinical case of infarction-like myocarditis
- Authors: Ivanova M.I1, Ikonnikov P.P2, Belyaeva E.L1
-
Affiliations:
- North-Western State Medical University n.a. I.I. Mechnikov
- City Multidisciplinary Hospital №2, St. Petersburg
- Issue: Vol 26, No 9 (2019)
- Pages: 95-99
- Section: Articles
- URL: https://journals.eco-vector.com/2073-4034/article/view/312326
- DOI: https://doi.org/10.18565/pharmateca.2019.9.95-99
- ID: 312326
Cite item
Abstract
Background. Currently, myocarditis is one of the poorly studied nosological forms, a problem with a large number of unresolved issues. The polymorphism of clinical presentation, the risks of invasive studies necessary to confirm the diagnosis, the need for expensive modern imaging methods, and the lack of an adequate evidence base for the treatment of myocarditis with a verified diagnosis - all of these things determine the challenges in managing patients with myocarditis. Description of the clinical case. This article presents a clinical case of acute focal myocarditis with an infarction-like clinical course of disease in a young patient. Conclusion. The presented clinical case illustrates the fact that a careful clinical approach using modern research methods is a necessary basis for determining the correct tactics of patient management even in the era of randomized trials and clinical recommendations.
Full Text
About the authors
M. I Ivanova
North-Western State Medical University n.a. I.I. Mechnikov
Email: ivanovamariaig@mail.ru
PhD, Associate Professor at the Department of Faculty Therapy
P. P Ikonnikov
City Multidisciplinary Hospital №2, St. Petersburg
E. L Belyaeva
North-Western State Medical University n.a. I.I. Mechnikov
References
- Caforio A.L., Pankuweit S., Arbustini E., et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2013;34:2636-48. doi: 10.1093/eurheartj/eht210
- Гомбоева С. Б., Рябов В.В., Шелковникова Т Л. и др. Случай миокардита псевдокоронарного течения с элевацией сегмента SТнаЭКГ. Российскийкардиологический журнал. 2016;11(139):95-6. Doi: http:// dx.doi.org/10.15829/1560-4071-2016-11-95-96
- Благова О.В., Недоступ А.В. Современные маски миокардита (от клинических синдромов к диагнозу). Российский кардиологический журнал. 2014;5(109):13-22
- Thygesen K, Alpert J.S, Jaffe A.S., et al Fourth universal definition of myocardial infarction (2018). Eur Heart J. 2019;40(3):237-69. Doi: https://doi. org/10.1093/eurheartj/ehy462
- Игнатьева Е.С, Рыжкова Д.В., Митрофанова Л.Б., Моисеева О.М. Возможности магнитно-резонансной томографии в диагностике различных клиникоморфологических форм миокардита. Российский кардиологический журнал. 2017;2(142):30-8. http://dx.doi.org/10.15829/1560-4071-2017-2-30-38