Objectives: Challenging differential diagnosis. Background: Acute myopericarditis and ACS STEMI share the presenting triad of acute chest pain, ST segment changes, and elevated cardiac enzymes. Differentiating is not always straightforward. Case Report: We reported the clinical observation of a 70-year-old woman admitted into cardiology intensive care for acute chest pain with electrocardiographic abnormalities suggestive of acute coronary syndrome with ST elevation (ACS STEMI). Pharmacological myocardial revascularization was done. Secondary evolution in the absence of initial coronary angiography is compatible with a myopericarditis of favorable evolution under empiric antibiotherapy. Coronarography performed remotely reveals a significant stenosis of the proximal and middle circumflex. Percutaneous angioplasty was successfully performed. Conclusion: In patients with acute chest pain, ST segment changes and elevated cardiac enzymes, coronary angiography can be useful in differential diagnosis.
| Published in | American Journal of Internal Medicine (Volume 6, Issue 4) |
| DOI | 10.11648/j.ajim.20180604.12 |
| Page(s) | 56-60 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Chest Pain, Acute Coronary Syndrome, Myopericarditis, Angioplasty
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APA Style
Philippe Mahouna Adjagba, Murielle Hounkponou, Arnaud Sonou, Kouessi Anthelme Agbodandé, Salimatou Assani Moutaïrou, et al. (2018). Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. American Journal of Internal Medicine, 6(4), 56-60. https://doi.org/10.11648/j.ajim.20180604.12
ACS Style
Philippe Mahouna Adjagba; Murielle Hounkponou; Arnaud Sonou; Kouessi Anthelme Agbodandé; Salimatou Assani Moutaïrou, et al. Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. Am. J. Intern. Med. 2018, 6(4), 56-60. doi: 10.11648/j.ajim.20180604.12
AMA Style
Philippe Mahouna Adjagba, Murielle Hounkponou, Arnaud Sonou, Kouessi Anthelme Agbodandé, Salimatou Assani Moutaïrou, et al. Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. Am J Intern Med. 2018;6(4):56-60. doi: 10.11648/j.ajim.20180604.12
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Download@article{10.11648/j.ajim.20180604.12,
author = {Philippe Mahouna Adjagba and Murielle Hounkponou and Arnaud Sonou and Kouessi Anthelme Agbodandé and Salimatou Assani Moutaïrou and Rosaire Bognon and Ikram Akinocho and Yessoufou Tchabi and Martin Dèdonougbo Houénassi},
title = {Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering},
journal = {American Journal of Internal Medicine},
volume = {6},
number = {4},
pages = {56-60},
doi = {10.11648/j.ajim.20180604.12},
url = {https://doi.org/10.11648/j.ajim.20180604.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20180604.12},
abstract = {Objectives: Challenging differential diagnosis. Background: Acute myopericarditis and ACS STEMI share the presenting triad of acute chest pain, ST segment changes, and elevated cardiac enzymes. Differentiating is not always straightforward. Case Report: We reported the clinical observation of a 70-year-old woman admitted into cardiology intensive care for acute chest pain with electrocardiographic abnormalities suggestive of acute coronary syndrome with ST elevation (ACS STEMI). Pharmacological myocardial revascularization was done. Secondary evolution in the absence of initial coronary angiography is compatible with a myopericarditis of favorable evolution under empiric antibiotherapy. Coronarography performed remotely reveals a significant stenosis of the proximal and middle circumflex. Percutaneous angioplasty was successfully performed. Conclusion: In patients with acute chest pain, ST segment changes and elevated cardiac enzymes, coronary angiography can be useful in differential diagnosis.},
year = {2018}
}
TY - JOUR T1 - Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering AU - Philippe Mahouna Adjagba AU - Murielle Hounkponou AU - Arnaud Sonou AU - Kouessi Anthelme Agbodandé AU - Salimatou Assani Moutaïrou AU - Rosaire Bognon AU - Ikram Akinocho AU - Yessoufou Tchabi AU - Martin Dèdonougbo Houénassi Y1 - 2018/07/21 PY - 2018 N1 - https://doi.org/10.11648/j.ajim.20180604.12 DO - 10.11648/j.ajim.20180604.12 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 56 EP - 60 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20180604.12 AB - Objectives: Challenging differential diagnosis. Background: Acute myopericarditis and ACS STEMI share the presenting triad of acute chest pain, ST segment changes, and elevated cardiac enzymes. Differentiating is not always straightforward. Case Report: We reported the clinical observation of a 70-year-old woman admitted into cardiology intensive care for acute chest pain with electrocardiographic abnormalities suggestive of acute coronary syndrome with ST elevation (ACS STEMI). Pharmacological myocardial revascularization was done. Secondary evolution in the absence of initial coronary angiography is compatible with a myopericarditis of favorable evolution under empiric antibiotherapy. Coronarography performed remotely reveals a significant stenosis of the proximal and middle circumflex. Percutaneous angioplasty was successfully performed. Conclusion: In patients with acute chest pain, ST segment changes and elevated cardiac enzymes, coronary angiography can be useful in differential diagnosis. VL - 6 IS - 4 ER -
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