ArticleThe American journal of case reports2025
Cardiac MRI in Identifying Myopericarditis Mimicking STEMI in a Patient with HIV: A Case Report.
Article in The American journal of case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Acute myopericarditis can clinically and electrocardiographically mimic ST-elevation myocardial infarction (STEMI), leading to misdiagnosis and delayed treatment. In people living with HIV (PLWH), particularly those untreated, impaired immunity and viral-driven inflammation amplify cardiac involvement. Autopsy data suggest a myocarditis prevalence rate of up to 50% in AIDS patients, yet clinically overt cases remain rare. Diagnostic ambiguity can precipitate unnecessary invasive procedures and contribute to HIV-associated cardiomyopathy, an AIDS-defining illness. CASE REPORT A 62-year-old white man with untreated HIV, noncompliance with antiretroviral therapy, heart failure with reduced ejection fraction (HFrEF), and active substance use presented with 3 days of chest pressure and progressive dyspnea. Pre-hospital ECG demonstrated inferolateral ST-segment elevations, triggering STEMI activation. Coronary angiography revealed multivessel obstructive stenoses with preserved TIMI-3 flow and no thrombotic occlusion. Transthoracic echocardiography showed global left ventricular hypokinesis (EF 24%) and moderate pericardial effusion. Cardiac magnetic resonance imaging demonstrated elevated native T1 times, diffuse pericardial enhancement, and absent late gadolinium uptake, confirming acute myopericarditis. Serologic evaluation included coccidioidomycosis titers, viral panel, and tuberculosis workup. Treatment comprised colchicine, ibuprofen, aspirin, high-intensity statin, goal-directed medical therapy for heart failure, reinitiation of antiretroviral therapy, and prophylaxis for opportunistic infections. CONCLUSIONS This case illustrates the diagnostic challenge of distinguishing myopericarditis from STEMI in people living with HIV. Accurate recognition using advanced imaging techniques such as cardiac MRI can prevent unnecessary invasive procedures and facilitate targeted therapy. Multidisciplinary care is vital to optimizing outcomes, particularly in patients with complex comorbidities and barriers to care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.