A Case of Acute Myocardial Injury – MINOCA or Myocarditis?

Camelia Libenciuc, Răzvan-Andrei Licu, I. Kovács, M. Chițu, I. Benedek
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Abstract

Abstract Myocardial infarction with non-obstructive coronary arteries (MINOCA) has been defined as clinical presentation of an acute coronary syndrome with laboratory evidence of myocardial necrosis, but with coronary stenosis of less than 50% on coronary angiography. On the other side, myocarditis is an inflammatory response triggered by viral, bacterial, fungal, lymphocytic, eosinophilic, or autoimmune myocardial injury, which may be associated with elevated myocardial necrosis serum biomarkers. We present the case of a young male patient with acute chest pain, ST-segment elevation, and high-sensitivity troponin levels of 22,162 ng/L.
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1例急性心肌损伤——MINOCA还是心肌炎?
非阻塞性冠状动脉心肌梗死(MINOCA)已被定义为临床表现为急性冠状动脉综合征,实验室证据显示心肌坏死,但冠状动脉造影显示冠状动脉狭窄小于50%。另一方面,心肌炎是一种由病毒、细菌、真菌、淋巴细胞、嗜酸性粒细胞或自身免疫性心肌损伤引发的炎症反应,可能与心肌坏死血清生物标志物升高有关。我们报告一例年轻男性患者急性胸痛,st段抬高,高敏感肌钙蛋白水平为22162 ng/L。
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