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Year : 2019  |  Volume : 9  |  Issue : 4  |  Page : 233-236

A rare case of dengue myocarditis masquerading as st-segment elevation myocardial infarction: A Balance Approach

Department of Cardiology and Medicine, Aayush Hospitals, Vijayawada, Andhra Pradesh, India

Correspondence Address:
Dr. P S S. Chowdary
Department of Cardiology, Aayush Hospitals, Vijayawada - 520 008, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JICC.JICC_46_19

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Dengue illness is a serious public health problem, contributing to significant morbidity and mortality. Cardiac involvement is common and is encountered in centers handling large numbers of dengue cases. Dengue myocarditis masquerading as ST-segment elevation myocardial infarction (STEMI) is a very rare presentation and only a few cases of dengue myocarditis masquerading as STEMI have been reported; it poses several challenging problems, as these patients are at high-risk bleeding and ischemic complications. Our case highlights the importance of the balance approach in the management of the bleeding and ischemic complications in a rare case of dengue myocarditis presenting as STEMI and the role of cardiac magnetic resonance imaging in determining the prognosis of the patient.

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