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Final Published Version
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Univ Arizona, Coll Med Phoenix, Internal MedIssue Date
2019-07-23
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CUREUSCitation
Mosebach C M, Tandon V, Kumar M (July 23, 2019) Acute Myocarditis Presenting as Acute Coronary Syndrome. Cureus 11(7): e5212. doi:10.7759/cureus.5212Journal
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Copyright © 2019. Mosebach et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
A 50-year-old male presented to the hospital with an approximate three-week history of nausea, fever, and back pain. Upon initial evaluation he had an electrocardiogram with ischemic changes and initial labs significant for a troponin of >25.0 ng/ml (<0.30 ng/ml), pro b-type natriuretic peptide (proBNP) of 9884 pg/ml (<125 pg/ml), and a lactic acid of 4.3 mmol/L (0.5-1.9 mmol/L). There was a concern for an acute coronary syndrome presenting as cardiogenic shock, but the patient was unable to tolerate left heart catheterization. He had a rapid clinical decline and despite all efforts, he passed away. The initial cause of death was thought to be due to an acute myocardial infarction, however, autopsy results were consistent with acute myocarditis. This case highlights the presentation of acute myocarditis as an acute coronary syndrome with complete heart block.Note
Open access journalISSN
2168-8184Version
Final published versionae974a485f413a2113503eed53cd6c53
10.7759/cureus.5212
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Except where otherwise noted, this item's license is described as Copyright © 2019. Mosebach et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0.