We present a case of a 48-year-old male who presented with worsening pleuritic chest pain for 2 h. He also complained of fever, malaise, headache and severe neck pain. Electrocardiogram (ECG) showed ST segment elevation in leads I, II, aVL and V5 with PR elevation and ST depression in aVR. On admission, troponin-I was 14.8 ng/mL. Based on ECG changes, elevated troponin and family history of ear...

Myopericarditis is commonly misdiagnosed as an acute coronary syndrome (ACS) due to the similarities in clinical presentation. Hence, accurate diagnosis important ensure appropriate care and improve outcomes. Here, we present case of a 58-year-old male initially diagnosed with ACS, which was eventually identified be myopericarditis managed accordingly. The patient presented fever for 1 week dur...

The spread of viral infections on the scale epidemics and pandemics is appeared to be a heavy socioeconomic burden for society, which primarily due growth severe complicated forms disease. presence complications from cardiovascular system has been traced since beginning first influenza pandemic in 1918 Spain consistently recorded subsequent years. A clinical case post-influenza myopericarditis ...

From the Cardiovascular and Infectious Disease Divisions, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts. This work was supported in part by Grant 5432 HL-07049 from the National Heart, Lung, and Blood Institute, Bethesda, Maryland. Requests for reprints shuld be addressed to Dr. James M. Kirshenbaum, Cardiovascular Division, Brigham and W...

Myocarditis can present in many different forms and can be overlooked by more life-threatening conditions. At times it may mimic conditions such as acute myocardial infarction and although it may have features highly suggestive of myocarditis, other etiologies need to be excluded. Thus, due to its clinical presentation, lab findings, and electrocardiogram analysis, it often can be confused with...

Bidirectional ventricular tachycardia is a rare dysrhythmia. It with morphologically diverse presentations. We report patient bidirectional secondary to fulminant myopericarditis.

Hydrochlorothiazide has never been reported as a reason for myopericarditis. An African American female, with past history of hypertension, coronary artery disease, and sulfa allergy, presented with indolent onset and retrosternal chest pain which was positional, pleuritic, and unresponsive to sublingual nitroglycerin. Her medications included hydrochlorothiazide (HCTZ) which was started three ...