A CURIOUS CASE OF CHEST PAIN

Dr. Javier de Juan BagudáAssociate Professor of Cardiology at Universidad Europea

Infanta Sofía University HospitalMadrid, Spain

I have nothing to declare

• 31 year-old-man

• Smoker. No other personal or family background

• Oppressive retrosternal pain

• Diarrhea, nausea and odynophagia

• Physical examination was normal

• Labs: Troponin I (peak 34.58 μg/L, ULN 0.07 μg/L) and CRP (peak 86.9 mg/L, ULN 5 mg/L)

ECG

TTE & CCT

37mm at the midlevel TAPSE: 22mm

DTI S wave: 0.09 m/s FAC: 31%

Tei index: 0.19

EDVRV: 148mlRVEF: 23%

MRI

Isolated Right Ventricle Myocarditis