| -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%
|