Chest pain with exertion caused by acute myocarditis. Report of a case and review of the bibliography
Francisco J. Rubio Péreza, Luis Franco Bonafonteb, Josep María Alegret Coloméc, Rosa María Collell Hernándezd
aUnitat Medicina de l’Esport. Hospital Universitario Sant Joan. Reus. Unitat Medicina de l’Esport, Hospital Comarcal. Amposta. Centre de Tecnificació Esportiva de les Terres de l’Ebre. Generalitat de Catalunya. Tarragona. España.
bUnitat Medicina de l’Esport. Hospital Universitario Sant Joan. Reus. Tarragona. España.
cServicio de Cardiología. Hospital Universitario Sant Joan. Reus. Tarragona. España.
dServicio de Pediatría. Hospital Universitario Sant Joan. Reus. Tarragona. España.
Correspondence: FJ Rubio. E-mail: fjrubio@grupsagessa.com
Reference of this article: Rubio Pérez FJ, Franco Bonafonte L, Alegret Colomé JP, Collell Hernández RM. Chest pain with exertion caused by acute myocarditis. Report of a case and review of the bibliography. Rev Pediatr Aten Primaria. 2016;69:e5-e10.
Published in Internet: 28-03-2016 - Visits: 13695
Abstract
15-years-old sportsman who attended to emergencies, because of a crushing chest pain radiating to the left arm, a time evolution, with nauseas and dizziness. Complementary test, electrocardiogram (ECG): supraelevation ST segment in the diaphragmatic face and infradeleveling in lateral faces; blood tests on admission: CK 3312 IU/l, troponin T 9.12 µg/l, AST 408 IU/l. Normal echocardiogram and chest radiology.
Suspecting ischemic is derived to a specialized center. Diagnosis of sharp myocarditis, with positive serology for Mycoplasma pneumoniae. We explain the clinical data evolution. With these data, competitive sport is allowed, being recommended biannual cardiac monitoring, staying up to date asymptomatic patient.
Keywords
● Electrocardiogram ● Magnetic resonance imaging ● Myocarditis ● Sudden death
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