Timing Event
-10 days History of upper respiratory infections (URI)
Presentation Pleuritic chest pain, nausea, diarrhea, and cough
+1 day
Pleuritic chest pain Electrocardiography: diffuse ST-segment elevation Echocardiography: reduced ejection fraction (LVEF:45%) Serum troponin: within normal limits
+2 day
Increased pleuritic chest pain positive Real-time RT-PCR test ECG: Increased ST-segment elevation in precordial leads Echocardiography: left ventricle (LV) clot and a decreased EF (35%) Serum troponin(hsTn): 27185 (normal range: 34( Angiography: heavy thrombotic lesion on the left anterior descending artery (LAD)
+1 month
Resolution of chest pain Electrocardiography: T wave inversion in anterior and lateral leads, ST elevation in inferior leads and Q wave in lateral leads Computed Tomography Angiography (CTA): reduction of thrombus burden
+3 month
chest pain relieved stable vital signs Echocardiography: reduced-sized LV clot EF=45-50%