Yıl 2017, Cilt 2 , Sayı 2, Sayfalar 18 - 21 2017-08-18

Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain
Çocuk Acil Kliniğine göğüs ağrısı ile başvuran hastalarda akut miyokart enfarktüsünü taklit eden akut miyokardit olguları

Ramazan Cahit TEMİZKAN [1] , Muhammet Mesut NEZİR [2] , Fatih KAYA [3] , Mürvet Neslihan ÇOLAK [4] , Kenan KOCABAY [5]


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.

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.

  • 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.
Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Yayınlanma Tarihi Aug 2017
Bölüm Vaka Sunumu (Case Report)
Yazarlar

Yazar: Ramazan Cahit TEMİZKAN
Kurum: Düzce Üniversitesi, Tıp Fakültesi, Çocuk Acil Bilim Dalı, Düzce
Ülke: Turkey


Yazar: Muhammet Mesut NEZİR
Kurum: Düzce Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Ana Bilim Dalı, Düzce, Türkiye

Yazar: Fatih KAYA
Kurum: Düzce Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Ana Bilim Dalı, Düzce, Türkiye

Yazar: Mürvet Neslihan ÇOLAK
Kurum: Düzce Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Ana Bilim Dalı, Düzce, Türkiye

Yazar: Kenan KOCABAY
Kurum: Düzce Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Ana Bilim Dalı, Düzce, Türkiye

Tarihler

Başvuru Tarihi : 1 Mart 2017
Kabul Tarihi : 20 Nisan 2017
Yayımlanma Tarihi : 18 Ağustos 2017

Bibtex @olgu sunumu { fppc295559, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2017}, volume = {2}, pages = {18 - 21}, doi = {10.22391/920.295559}, title = {Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain}, key = {cite}, author = {Temizkan, Ramazan Cahit and Nezir, Muhammet Mesut and Kaya, Fatih and Çolak, Mürvet Neslihan and Kocabay, Kenan} }
APA Temizkan, R , Nezir, M , Kaya, F , Çolak, M , Kocabay, K . (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 . DOI: 10.22391/920.295559
MLA Temizkan, R , Nezir, M , Kaya, F , Çolak, M , Kocabay, K . "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 (2017 ): 18-21 <http://www.fppc.com.tr/tr/pub/issue/30852/295559>
Chicago Temizkan, R , Nezir, M , Kaya, F , Çolak, M , Kocabay, K . "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 (2017 ): 18-21
RIS TY - JOUR T1 - Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain AU - Ramazan Cahit Temizkan , Muhammet Mesut Nezir , Fatih Kaya , Mürvet Neslihan Çolak , Kenan Kocabay Y1 - 2017 PY - 2017 N1 - doi: 10.22391/920.295559 DO - 10.22391/920.295559 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 18 EP - 21 VL - 2 IS - 2 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/920.295559 UR - https://doi.org/10.22391/920.295559 Y2 - 2017 ER -
EndNote %0 Family Practice and Palliative Care Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain %A Ramazan Cahit Temizkan , Muhammet Mesut Nezir , Fatih Kaya , Mürvet Neslihan Çolak , Kenan Kocabay %T Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain %D 2017 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 2 %N 2 %R doi: 10.22391/920.295559 %U 10.22391/920.295559
ISNAD Temizkan, Ramazan Cahit , Nezir, Muhammet Mesut , Kaya, Fatih , Çolak, Mürvet Neslihan , Kocabay, Kenan . "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 (Ağustos 2017): 18-21 . https://doi.org/10.22391/920.295559
AMA Temizkan R , Nezir M , Kaya F , Çolak M , 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.
Vancouver Temizkan R , Nezir M , Kaya F , Çolak M , Kocabay K . Acute myocarditis that confounded by acute myocardial infarction in adolescent patients who applied Pediatric emergency room with chest pain. Family Practice and Palliative Care. 2017; 2(2): 18-21.
IEEE R. Temizkan , M. Nezir , F. Kaya , M. Çolak ve K. 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, c. 2, sayı. 2, ss. 18-21, Ağu. 2017, doi:10.22391/920.295559