Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome

Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest...

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Main Authors: Sachin K. Gupta, Zahra Naheed
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2014/176520
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author Sachin K. Gupta
Zahra Naheed
author_facet Sachin K. Gupta
Zahra Naheed
author_sort Sachin K. Gupta
collection DOAJ
description Acute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The adolescent population presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for ACS and other etiologies including myocarditis, myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. We report one Japanese adolescent male with mycoplasma pneumoniae myocarditis who presented to the ER with chest pain, elevated cardiac enzymes, and abnormal EKG.
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institution Kabale University
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series Case Reports in Critical Care
spelling doaj-art-618e71579c2e4e4dbc23a6ffbc7dfa3e2025-02-03T01:31:48ZengWileyCase Reports in Critical Care2090-64202090-64392014-01-01201410.1155/2014/176520176520Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary SyndromeSachin K. Gupta0Zahra Naheed1Department of Pediatrics, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612, USADepartment of Pediatric Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL 60612, USAAcute chest pain with very elevated troponin level and abnormal EKG in adult population is considered sine qua non to acute coronary syndrome (ACS) unless proved otherwise. Similar presentation in adolescent population is seen less often but raises suspicion for ACS. Most common etiology for chest pain with cardiac enzyme elevation in adolescent population is usually viral myopericarditis. The adolescent population presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for ACS and other etiologies including myocarditis, myopericarditis, pulmonary embolism, acute rheumatic fever, and trauma. We report one Japanese adolescent male with mycoplasma pneumoniae myocarditis who presented to the ER with chest pain, elevated cardiac enzymes, and abnormal EKG.http://dx.doi.org/10.1155/2014/176520
spellingShingle Sachin K. Gupta
Zahra Naheed
Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
Case Reports in Critical Care
title Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
title_full Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
title_fullStr Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
title_full_unstemmed Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
title_short Chest Pain in Adolescent Japanese Male Mimicking Acute Coronary Syndrome
title_sort chest pain in adolescent japanese male mimicking acute coronary syndrome
url http://dx.doi.org/10.1155/2014/176520
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