Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis |
| |
Authors: | Nael Hawwa MD Zoran B Popovic MD PhD Hussain A Isma'eel MD |
| |
Institution: | 1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio;2. Division of Cardiovascular Medicine, American University of Beirut Medical Center, Beirut, Lebanon |
| |
Abstract: | A 42‐year‐old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis, and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes, and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally, there was some suggestion of a regional pattern to the reduced longitudinal strain. |
| |
Keywords: | influenza myocardial edema longitudinal strain |
|
|