Myopericarditis
Report:
Sinus rhythm 72/min
ST segment elevation c/c pericarditis
Comment:
The ST elevation involves both sets of leads – frontal and chest leads – and V6 is involved; electrocardiographic acute pericarditis. No other diagnosis is suggested.
The next day, however, T wave inversion (Fig 57a) extends the differential diagnosis to include myocarditis and ischæmia; indeed the left precordial pattern looks infarctional. This called for a catheter study, despite, or maybe because of, the patient’s age. It was normal. Thus the clinical diagnosis was myopericarditis on ECG and biomarker grounds. The myocarditis must have been quite mild in view of the normal ventricle at angiography.
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