Acute myocarditis mimicking acute myocardial infarction associated with pandemic 2009 (H1N1) influenza A virus

Ismail Erden; Emine Çakcak Erden; Hakan Özhan; Cengiz Basar

Vol 18, No 5 (2011)

Case Reports

Published online: 2011-09-21

Submitted: 2013-01-14

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Acute myocarditis mimicking acute myocardial infarction associated with pandemic 2009 (H1N1) influenza A virus

Ismail Erden, Emine Çakcak Erden, Hakan Özhan, Cengiz Basar

Cardiol J 2011;18(5):552-555.

Vol 18, No 5 (2011)

Case Reports

Published online: 2011-09-21

Submitted: 2013-01-14

Abstract

The prevalence of myocardial involvement in influenza infection ranges from 0% to 11% depending on the diagnostic criteria used to define myocarditis. Whether such an association holds for the novel influenza A strain, pandemic-2009-H1N1, remains unknown. The clinical presentation of myocarditis varies and often mimics myocardial infarction. Although history, physical examination, laboratory data points, and electrocardiogram are helpful in distinguishing myocarditis from myocardial infarction, differential diagnosis can sometimes be difficult. Here, we present the first known report of acute myocarditis mimicking acute myocardial infarction associated with the pandemic influenza A virus (H1N1) infection.
(Cardiol J 2011; 18, 5: 552–555)