RESUMO

Chest pain is a common complaint in the emergency department (ED). Besides a careful history and physical exam; electrocardiogram, laboratory tests and imaging studies are widely available diagnostic tests that are used for patient assessment. When ST elevation and elevated cardiac enzymes are present the most likely diagnosis are ST elevation myocardial infarction (STEMI) or myocarditis. In this case report we present two low risk patients for major adverse cardiac event with ST elevation and elevated cardiac enzymes and how a careful risk assessment and detailed electrocardiogram evaluation could help differentiating between these two diagnoses.

Assuntos

Dor no Peito/etiologia , Miocardite/diagnóstico , Infarto do Miocárdio com Supradesnível do Segmento ST/diagnóstico , Adulto , Diagnóstico Diferencial , Eletrocardiografia , Humanos , Masculino , Miocardite/fisiopatologia , Medição de Risco/métodos , Infarto do Miocárdio com Supradesnível do Segmento ST/fisiopatologia , Adulto Jovem