Acute myocarditis manifesting as a transmural myocardial infarction accompanied by acute renal failure

Czech version

Authors: L. Brunerová1ihash2 ^{,2 ,2}
Authors‘ workplace: laboratoř patofyziologie metabolizmu 3. lékařské fakulty UK, Praha, vedoucí prof. MUDr. Michal Anděl, CSc. ¹; II. interní klinika 3. lékařské fakulty UK a FN Královské Vinohrady, Praha, přednosta prof. MUDr. Michal Anděl, CSc. ²; III. interní kardiologická klinika 3. lékařské fakulty UK a FN Královské Vinohrady, Praha, přednosta prof. MUDr. Petr Widimský, DrSc., FESC ³
Published in: Vnitř Lék 2005; 51(1): 106-112
Category: Case Reports

Overview

We present a case report of a 70 year-old female patient admitted to our medical department for acute renal failure with ECG evidence of acute Q wave myocardial infarction, positive cardiospecific enzymes, and an echocardiography image of regional hypokinesis imitating acute myocardial infarction, but clinically silent. Acute myocarditis was diagnosed to be a cause of the patient’s condition. Renal failure developed due to renal hypoperfusion following hemodynamic changes caused by myocarditis and dehydration. The goal of this case report is to show an unusual manifestation of acute myocarditis imitating acute myocardial infarction.

Key words:
oliguric renal failure – acute myocardial infarction – acute myocarditis

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