PMC6346973_01
ECG recorded on admission for the first episode of chest pain showing ST elevation on V4-V6, DI and aVL
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PMC6346973_01_987_Fig1.jpg
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The ECG showed a slight ST elevation on V4-V6, DI, aVL and DII (Fig. 1).
ECG recorded on admission for the second episode of chest pain showing ST elevation on V3-V5 and T wave inversion on DI, aVL, V3, V4 and V5
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PMC6346973_01_987_Fig2.jpg
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The ECG at admission showed ST elevation from V3 to V5 and T wave inversion on DI, aVL, V3 and V4 (Fig. 2).
Cardiac MRI late gadolinium enhancement study showing foci of subepicardial enhancement in the inferolateral wall
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PMC6346973_01_987_Fig3.jpg
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As the aetiology was still unknown, cardiac magnetic resonance imaging was performed and showed subepicardial enhancement in the inferolateral wall in the late enhancement sequence, suggestive of myocarditis/myopericarditis (Figs. 3-4).
Figure 4 T2-weighted sequence showing signal hyperintensity in the middle segment of the inferolateral wall
987_Fig4.jpg
PMC6346973_01_987_Fig4.jpg
f4-987-1-6370-1-10-20181127
As the aetiology was still unknown, cardiac magnetic resonance imaging was performed and showed subepicardial enhancement in the inferolateral wall in the late enhancement sequence, suggestive of myocarditis/myopericarditis (Figs. 3-4).