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Figures

Fig. 1

Coronal view of the CE-CMR, which showed delayed enhancement of epicardial layer of the basal wall (arrow) of the heart.

Fig. 2

Cross-sectional view of the CE-CMR, which showed delayed enhancement of the epicardial layer of the anterolateral wall (arrow) of the heart.

Fig. 3

Sagittal view of the CE-CMR, which showed delayed enhancement of the epicardial layer of basal wall (arrow) of the heart.

First page of article
Acute myocarditis is a heterogeneous disorder, which may be related to infection, immune disorders, or inflammatory processes. Clinical symptoms of acute myocarditis are varied. Early diagnosis and prompt treatment are crucial. A male patient is presented with this disorder at 17 years of age with atypical chest pain and an elevated troponin. Electrocardiographic findings were nonspecific, and the echocardiogram was normal. Computed tomography angiography of the coronary arteries was normal. Contrast-enhanced cardiac magnetic resonance imaging demonstrated delayed epicardial enhancement involving the basal lateral and anterolateral left ventricular wall and wall dyskinesis consistent with acute myocarditis and myocardial necrosis.

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This article is from the Department of Internal Medicine of the University of South Dakota Sanford School of Medicine and the Sanford Heart Hospital, Sioux Falls, SD.

☆☆Each of the listed authors equally contributed to the preparation of this manuscript.

None of the authors have any conflict of interest to declare.

 

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