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
- cardiac resynchronization therapy
- acute myocardial infarction
- heart failure
- aortic stenosis
- mitral valve
- left atrial
- liver failure
- oxidative stress
- respiratory failure
- single molecule
- high dose
- high intensity
- single cell
- magnetic resonance imaging
- coronary artery disease
- ejection fraction
- aortic dissection
- extracorporeal membrane oxygenation
- newly diagnosed
- acute coronary syndrome
- respiratory tract