Myocarditis masquerading as ischemic heart disease: The diagnostic utility of antimyosin imaging

K. Lambert, D. Isaac, R. Hendel

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The diagnosis of myocarditis presents a diagnostic challenge due to its varied clinical presentation. In addition, criteria for myocarditis are varied. At present, the confirmation of myocarditis depends on an endomyocardial biopsy demonstrating myocardial inflammation and necrosis. Unfortunately, this invasive procedure is associated with some degree of risk and has significant limitations. This report discusses the case presentations of two patients with chest pain, electrocardiographic changes and elevated creatine kinase levels suggestive of myocardial infarction, who were subsequently found to have findings compatible with myocarditis based on indium-111 antimyosin antibody scanning. This noninvasive test therefore appears to have value in the differentiation of myocardial ischemia from myocarditis.

Original languageEnglish (US)
Pages (from-to)415-422
Number of pages8
JournalCardiology
Volume82
Issue number6
DOIs
StatePublished - Jan 1 1993

Keywords

  • Endomyocardial biopsy
  • Indium-111-labeled antimyosin antibody scanning
  • Myocardial infarction
  • Myocardial necrosis
  • Myocarditis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Myocarditis masquerading as ischemic heart disease: The diagnostic utility of antimyosin imaging'. Together they form a unique fingerprint.

  • Cite this