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Chest Pain in Two Athletic Male Adolescents Mimicking Myocardial Infarction

Gupta, Sachin K. MD*; Naheed, Zahra MD

doi: 10.1097/PEC.0000000000000170
Illustrative Cases

Abstract: Acute chest pain with elevated troponin and CK-MB levels and focal ST elevation on electrocardiogram is considered to be myocardial infarction unless proven otherwise. The cardiac enzymes can be elevated in other etiologies of chest pain including myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. Therefore, patients presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for other etiologies after ruling out acute coronary process. We report 2 male adolescents with myopericarditis who presented to the emergency department with chest pain and elevated cardiac enzymes.

From the Departments of *Pediatrics and †Pediatric Cardiology, John H Stroger Jr, Cook County Hospital, Chicago, IL.

Disclosure: The authors declare no conflict of interest.

Reprints: Sachin K. Gupta, MD, John H Stroger Jr, Cook County Hospital, Pediatrics, 1901 W Harrison St, Chicago, IL 60612 (e-mail: drsachin.apollo@gmail.com).

© 2014 Lippincott Williams & Wilkins, Inc.