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.
| Birincil Dil | en |
|---|---|
| Konular | Sağlık Bilimleri ve Hizmetleri |
| Yayınlanma Tarihi | Aug 2017 |
| Bölüm | Vaka Sunumu (Case Report) |
| Yazarlar |
|
| Tarihler |
Başvuru Tarihi
: 1 Mart 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 |
