A teenager with adenoviral myocarditis mimicking hypertrophic cardiomyopathy.
Aybike AydinFarwa AliMegan KharitonRobert SpencerPublished in: Cardiology in the young (2023)
A 14-year-old previously healthy female presented with chest pain and dyspnoea for 2 days in the setting of a recent upper respiratory infection. She had elevated inflammatory markers and troponin, resulting in the diagnosis of acute myocarditis. Transthoracic echocardiography demonstrated mild systolic dysfunction and a moderate pericardial effusion. Additionally, her echocardiogram showed concentric left ventricular hypertrophy raising concern for hypertrophic cardiomyopathy. She was treated with intravenous immunoglobulin. Serial echocardiograms revealed rapid resolution of her ventricular hypertrophy. Cardiac magnetic resonance confirmed the diagnosis of myocarditis.
Keyphrases
- left ventricular
- hypertrophic cardiomyopathy
- magnetic resonance
- heart failure
- acute myocardial infarction
- cardiac resynchronization therapy
- left atrial
- mitral valve
- aortic stenosis
- liver failure
- high intensity
- high dose
- single cell
- drug induced
- low dose
- magnetic resonance imaging
- respiratory failure
- blood pressure
- contrast enhanced
- acute respiratory distress syndrome
- respiratory tract
- hepatitis b virus
- intensive care unit
- acute coronary syndrome
- quantum dots