학술논문
Comparison of Clinical Presentation of Acute Myocarditis Following Smallpox Vaccination to Acute Coronary Syndromes in Patients <40 Years of Age ⁎ [⁎] The opinions and research contained herein are the private ones of the investigators and are not to be considered as official or reflecting the views of the United States government or the United States Department of Defense.
Document Type
Article
Source
Subject
*CARDIOMYOPATHIES
*MYOCARDITIS
*SMALLPOX vaccines
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Language
ISSN
0002-9149
Abstract
Smallpox vaccine–associated myopericarditis may have a similar presentation to acute coronary syndrome (ACS). The clinical records of 78 young patients (<40 years of age) presenting with ACS (n = 16) or myocarditis after smallpox vaccination (n = 62) were reviewed. Comparisons were made among clinical presentation, cardiac enzymes, echocardiographic findings, and electrocardiographic changes. The presence of cardiac risk factors or focal wall motion abnormalities on echocardiography were associated with a diagnosis of ACS. There was a trend toward earlier elevation of troponin-I and creatine kinase in patients with myocarditis compared with ACS. [Copyright &y& Elsevier]