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Çocuk Acil Kliniğine göğüs ağrısı ile başvuran hastalarda akut miyokart enfarktüsünü taklit eden akut miyokardit olguları

Year 2017, Volume: 2 Issue: 2, 18 - 21, 18.08.2017

Ramazan Cahit Temizkan , Muhammet Mesut Nezir , Fatih Kaya Mürvet Neslihan Çolak Kenan Kocabay

https://doi.org/10.22391/920.295559

Abstract

Göğüs ağrısı, ST segment
elevasyonu ve kardiyak enzimlerde yükselme ile gelen çocuk hasta grubunda
kardiyak kökenli hastalık ve aile hikâyesi yoksa düşünülecek ilk tanı
miyokardittir. Ancak miyokardit bazen akut miyokart enfarktüsü gibi bazı
hastalıklarla karışabilir. Elektrokardiyografi (EKG) bulguları farklı olmasına
rağmen, bazen akut miyokart enfarktüsü ve akut miyokardit birbirini taklit
edebilir. Bu iki hastalığın tedavi ve prognozu birbirinden tamamen farklıdır.
Ayırıcı tanıya varmak hayat kurtarıcıdır. Bundan dolayı göğüs ağrısı ile
başvuran, EKG de ST-T değişiklikleri mevcut olan ve kardiyak enzimlerde
yükselme saptanan hastaların ayırıcı tanısı, tedavisi ve takibi için çocuk
kardiyolojisi olan merkeze acilen sevki gereklidir. EKG’de spesifik ST-T
değişiklikleri, göğüs ağrısı olan ve kardiyak enzimlerde yükselme olan 14 ve 16
yaşında miyokardit tanısı konulan iki hastayı sunduk.

Keywords

Miyokarditler adölesan göğüs ağrısı

References

  • Selbst SM, Ruddy RM, Clark BJ, HenretigFM, Santulli T Jr. Pediatricchestpain: a prospectivestudy. Pediatrics1988;82(3):319-23.
  • Liu P, Martino, Opavsky MA, Penninger J. Viral myocarditis: balance between viral infection and immune response. Can J Cardiol 1996;12(10):935-43.
  • Wu CH, Sung SH, Wu TC. Focal myocarditis mimicking myocardial infarction in a patient with rheumatoid arthritis. Clin Rheumatol 2009;1:23.
  • Falterman TJ, Martinez JA, Daberkow D, Weiss LD. Pulmonary embolism with ST segment elevation in leads V1 to V4: case report and review of the literature regarding electrocardiographic changes in acute pulmonary embolism. J EmergMed 2001;21:255-261.
  • Şatıroğlu Ö, Vural M, Uyar İ, Meriç M. Akut ST yükselmeli miyokard infarktüsüne benzeyen bölgesel miyokardit. Nobel Med 2011; 7(1): 119-123
  • Zipes PD, Libby P, Bonow RO, Braunwald E. Braunwald’s Heart disease a textbook of cardiovascular medicine. Myocarditis. 7 th edition. CH 60, P. 1697-1700.
  • Testani JM, Kolansky DM, Litt H, Gerstenfeld EP. Focal myocarditis mimicking acute ST-elevation myocardialinfarction: diagnosis using cardiac magnetic resonance imaging. TexHeartInst J 2006; 33: 256-259.
  • Pomara C, Villani A, D’Errico S, et al. Acute myocarditis mimicking acute myocardial infarction: a clinical nightmare with forensic implications. Int J Cardiol 2006; 10:119-121.

Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain

Year 2017, Volume: 2 Issue: 2, 18 - 21, 18.08.2017

Ramazan Cahit Temizkan , Muhammet Mesut Nezir , Fatih Kaya Mürvet Neslihan Çolak Kenan Kocabay

https://doi.org/10.22391/920.295559

Abstract

In children patients with
chest pain, ST segment elevation and increase in cardiac markers, myocarditis
must be the first diagnosis to consider if there is no cardiac disease history.
Sometimes myocarditis can be confounded by some diseases like acute myocardial
infarction. Although the electrocardiographic (ECG) signs are different, acute
myocardial infarction and acute myocarditis can be duplicate occasionally.
Treatments and prognosis of these two diseases are totally different.
Differential diagnosis is life saver in these situations. Therefore, if ST-T
changes in ECG and increased cardiac markers are assessed in patients with
chest pain; differential diagnosis, treatment and referring the patient to a
pediatric cardiology department for observation are mandatory. We introduce two
patients aged 14 and 16, who have chestpain, spesific ST-T changes and increase
in cardiac markers.

Keywords

adolescent Myocarditis chest pain

References

  • Selbst SM, Ruddy RM, Clark BJ, HenretigFM, Santulli T Jr. Pediatricchestpain: a prospectivestudy. Pediatrics1988;82(3):319-23.
  • Liu P, Martino, Opavsky MA, Penninger J. Viral myocarditis: balance between viral infection and immune response. Can J Cardiol 1996;12(10):935-43.
  • Wu CH, Sung SH, Wu TC. Focal myocarditis mimicking myocardial infarction in a patient with rheumatoid arthritis. Clin Rheumatol 2009;1:23.
  • Falterman TJ, Martinez JA, Daberkow D, Weiss LD. Pulmonary embolism with ST segment elevation in leads V1 to V4: case report and review of the literature regarding electrocardiographic changes in acute pulmonary embolism. J EmergMed 2001;21:255-261.
  • Şatıroğlu Ö, Vural M, Uyar İ, Meriç M. Akut ST yükselmeli miyokard infarktüsüne benzeyen bölgesel miyokardit. Nobel Med 2011; 7(1): 119-123
  • Zipes PD, Libby P, Bonow RO, Braunwald E. Braunwald’s Heart disease a textbook of cardiovascular medicine. Myocarditis. 7 th edition. CH 60, P. 1697-1700.
  • Testani JM, Kolansky DM, Litt H, Gerstenfeld EP. Focal myocarditis mimicking acute ST-elevation myocardialinfarction: diagnosis using cardiac magnetic resonance imaging. TexHeartInst J 2006; 33: 256-259.
  • Pomara C, Villani A, D’Errico S, et al. Acute myocarditis mimicking acute myocardial infarction: a clinical nightmare with forensic implications. Int J Cardiol 2006; 10:119-121.
There are 8 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Ramazan Cahit Temizkan

Muhammet Mesut Nezir

Fatih Kaya

Mürvet Neslihan Çolak

Kenan Kocabay

Publication Date August 18, 2017
Submission Date March 1, 2017
Acceptance Date April 20, 2017
Published in Issue Year 2017 Volume: 2 Issue: 2

Cite

APA Temizkan, R. C., Nezir, M. M., Kaya, F., … Çolak, M. N. (2017). Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Family Practice and Palliative Care, 2(2), 18-21. https://doi.org/10.22391/920.295559
AMA Temizkan RC, Nezir MM, Kaya F, Çolak MN, Kocabay K. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Fam Pract Palliat Care. August 2017;2(2):18-21. doi:10.22391/920.295559
Chicago Temizkan, Ramazan Cahit, Muhammet Mesut Nezir, Fatih Kaya, Mürvet Neslihan Çolak, and Kenan Kocabay. “Acute Myocarditis That Confounded by Acute Myocardial Infarction in Adolescent Patients Who Applied Pediatric Emergency Room With Chest Pain”. Family Practice and Palliative Care 2, no. 2 (August 2017): 18-21. https://doi.org/10.22391/920.295559.
EndNote Temizkan RC, Nezir MM, Kaya F, Çolak MN, Kocabay K (August 1, 2017) Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Family Practice and Palliative Care 2 2 18–21.
IEEE R. C. Temizkan, M. M. Nezir, F. Kaya, M. N. Çolak, and K. Kocabay, “Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain”, Fam Pract Palliat Care, vol. 2, no. 2, pp. 18–21, 2017, doi: 10.22391/920.295559.
ISNAD Temizkan, Ramazan Cahit et al. “Acute Myocarditis That Confounded by Acute Myocardial Infarction in Adolescent Patients Who Applied Pediatric Emergency Room With Chest Pain”. Family Practice and Palliative Care 2/2 (August2017), 18-21. https://doi.org/10.22391/920.295559.
JAMA Temizkan RC, Nezir MM, Kaya F, Çolak MN, Kocabay K. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Fam Pract Palliat Care. 2017;2:18–21.
MLA Temizkan, Ramazan Cahit et al. “Acute Myocarditis That Confounded by Acute Myocardial Infarction in Adolescent Patients Who Applied Pediatric Emergency Room With Chest Pain”. Family Practice and Palliative Care, vol. 2, no. 2, 2017, pp. 18-21, doi:10.22391/920.295559.
Vancouver Temizkan RC, Nezir MM, Kaya F, Çolak MN, Kocabay K. Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Fam Pract Palliat Care. 2017;2(2):18-21.
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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505