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(Circulation. 1995;91:1886-1887.)
© 1995 American Heart Association, Inc.

Articles

Acute Myocarditis Masquerading as Acute Myocardial Infarction

David H. Spodick, MD, DSc; Trevor O. Greene, MD; Gordon Saperia, MD

From the Department of Medicine, University of Massachusetts Medical School and the Cardiology Division, St Vincent Hospital, Worcester, Mass.

Correspondence to D.H. Spodick, MD, Cardiology Division, St Vincent Hospital, Worcester, MA 01604.

	Introduction

 

View larger version (74K): [in this window] [in a new window]   Figure 1. A 43-year-old woman presented with classic onset of acute myocardial infarction with severe cardiac failure, including pulmonary edema. The ECG (above) showed acute anteroseptal infarction with right bundle branch block, a combination with demonstrated strong independent value as a marker of extremely poor prognosis. Later emergency angiography showed normal coronary arteries. Intractable ventricular arrhythmias resulted in death. Myocardium (facing page) shows classic acute myocarditis.

	Footnotes

 
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Received September 1, 1994; accepted September 29, 1994.

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