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KMID : 0368119920220050890
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Korean Circulation Journal
1992 Volume.22 No. 5 p.890 ~ p.897
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A Case of Viral Myocarditis presenting as Acute Extensive Myocardial Infarction
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김용준
최락경/이무용/김석연/전용덕/이상민/김진윤/민경완/이홍순
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Abstract
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Viral myocarditis is a inflammatory process of the heart caused by virus. Its manifestation ranges from asymptom to acute fulminent congeastive heart failure and often mimics acute myocardial infarction.
A 22 year old man was admitted to the hospital because of prolonged anterior chest pain. 15 days before entry. anterior chest pain with cough and fever braught him to the another hospital. At that time. the LDH level was 1160U/L. the CPK level
was
659.7U/L and MB band was 16.1%. The ECG revealed acute inferior wall infarction. And 3 days later. extensive anterior wall infarction findings appeared. 2D-Echo findings showed proximal septal hypokinesia. On admission time to this hospital.
physical
examination was negative. The ECG showed no interval change. 2D-Echo findings showed increased echogenicity of anterior and inferior wall. Treadmill test did not evoked chest pain or change of ECG. The LDH. CPK levels returned to normal range.
The
antibody titers of Coxsackievirus type A 16 was positive. Coronary angiography showed normal findings. 3 months later. antibody's titer of Coxsackievirus A-16 was increased. A diagnosis of acute viral myocarditis was made.
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KEYWORD
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