EM Cases · Myocarditis & pericarditis
Chest pain, diffuse ST elevation, troponin rise — pericarditis vs ACS vs myocarditis
ACEM Fellowship resus/chest pain station testing ACS exclusion, pericarditis therapy (NSAID+colchicine), and recognition of myocarditis/fulminant pathways.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A 28-year-old with positional chest pain, viral prodrome, diffuse ST elevation and mild troponin rise.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References5ShowHide
- [1]Coaxum L, McClean C, Theophanous R Myopericarditis in an emergency department patient presenting with chest pain and ECG changes: a case report. Egyptian Heart Journal, 2026.PMID 41945202
- [2]Charron P, Adler Y Ten commandments of the 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal, 2015.PMID 26866075
- [3]Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC). European Heart Journal, 2015.PMID 26320112
- [7]Kociol RD, Cooper LT, Fang JC, et al. Recognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association. Circulation, 2020.PMID 31902242
- [10]McCarthy RE 3rd, Boehmer JP, Hruban RH, et al. Long-term outcome of fulminant myocarditis as compared with acute (nonfulminant) myocarditis. N Engl J Med, 2000.PMID 10706898