Difficulties in myocarditis diagnosis (clinical case)

Myocarditis is often a difficult heart condition to diagnose. This article presents a clinical case of a young patient with symptoms of acute coronary syndrome who showed no evidence of coronary artery disease. Myocarditis was suspected due to elevated levels of cardiospecific enzymes and inflammatory markers, pronounced electrocardiography changes with positive dynamics, as well as the fact of a previous infection. The cardiac magnetic resonance imaging was used to confirm the diagnosis of myocarditis. Thus, the role of imaging techniques in the differential diagnosis of ischemic and inflammatory heart disease has been demonstrated.