Abstract

RUBIO PEREZ, Francisco J.; FRANCO BONAFONTE, Luis; ALEGRET COLOME, Josep María  and  COLLELL HERNANDEZ, Rosa M.ª. Chest pain with exertion caused by acute myocarditis: report of a case and review of the bibliography. Rev Pediatr Aten Primaria [online]. 2016, vol.18, n.69, pp.e5-e10. ISSN 1139-7632.

15-years-old sportsman who attended to emergencies, because of a crushing chest pain radiating to the left arm, a time evolution, with nauseas and dizziness. Complementary test, electrocardiogram (ECG): supraelevation ST segment in the diaphragmatic face and infradeleveling in lateral faces; blood tests on admission: CK 3312 IU/l, troponin T 9.12 µg/l, AST 408 IU/l. Normal echocardiogram and chest radiology. Suspecting ischemic is derived to a specialized center. Diagnosis of sharp myocarditis, with positive serology for Mycoplasma pneumoniae. We explain the clinical data evolution. With these data, competitive sport is allowed, being recommended biannual cardiac monitoring, staying up to date asymptomatic patient.

Keywords : Myocarditis; Sudden death; Electrocardiogram; Magnetic resonance.

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