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2 results

  • Self-limited myocarditis presenting with chest pain and ST segment elevation in adolescents after vaccination with the BNT162b2 mRNA vaccine

  • Jihyun Park, Dona R. Brekke, Andras Bratincsak
  • Journal:
    Cardiology in the Young / Volume 32 / Issue 1 / January 2022
    Published online by Cambridge University Press:
    28 June 2021, pp. 146-149
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  • Two adolescent males presented within 3 days after the first and second dose of the BNT162b2 vaccine with chest pain. Elevated troponin levels, ST segment elevation, and enhancement of the myocardium in cardiac MRI suggested myocarditis. Left ventricular function remained normal, symptoms resolved, and patients were discharged in 4 days. BNT162b2 vaccine may be associated with self-limited myocarditis in youth.

  • The Dynamic Nature of ST-Segment and T-Wave Changes During Acute MI

  • Richard A. Harvey, Frederick P. Fuller
  • Journal:
    Prehospital and Disaster Medicine / Volume 12 / Issue 4 / December 1997
    Published online by Cambridge University Press:
    28 June 2012, pp. 80-84
    Print publication:
    December 1997

  • Obtaining aprehospital 12-lead electrocardiogram (ECG) diagnostic of acute myocardial injury has been demonstrated to hasten the administration of thrombolytic agents in the emergency department. This case demonstrates that aprehospital electrocardiogram diagnostic of acute anterior wall infarction can become non-diagnostic following routine administration of oxygen, nitroglycerin, and morphine by paramedics. Although this phenomenon has been observed in the in-hospital setting, it has not been reported in patients with a prehospital ECG.