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

K. Lambert, D. Isaac, Robert Hendel

Research output: Contribution to journalArticle

9 Citations (Scopus)

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
Pages (from-to)415-422
Number of pages8
JournalCardiology
Volume82
Issue number6
StatePublished - Jan 1 1993
Externally publishedYes

Fingerprint

Myocarditis
Myocardial Ischemia
Creatine Kinase
Chest Pain
Necrosis
Myocardial Infarction
Inflammation
Biopsy
Antibodies

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Myocarditis masquerading as ischemic heart disease : The diagnostic utility of antimyosin imaging. / Lambert, K.; Isaac, D.; Hendel, Robert.

In: Cardiology, Vol. 82, No. 6, 01.01.1993, p. 415-422.

Research output: Contribution to journalArticle

Lambert, K, Isaac, D & Hendel, R 1993, 'Myocarditis masquerading as ischemic heart disease: The diagnostic utility of antimyosin imaging', Cardiology, vol. 82, no. 6, pp. 415-422.
Lambert, K. ; Isaac, D. ; Hendel, Robert. / Myocarditis masquerading as ischemic heart disease : The diagnostic utility of antimyosin imaging. In: Cardiology. 1993 ; Vol. 82, No. 6. pp. 415-422.
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