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  • Title: Fulminant myocarditis presenting with wide complex tachycardia.
    Author: Stankewicz MA, Clements SD.
    Journal: South Med J; 2004 Oct; 97(10):1007-9. PubMed ID: 15558932.
    Abstract:
    Fulminant myocarditis is an uncommon diagnosis characterized by cardiac failure preceded by symptoms of a viral illness. Presentation can frequently mimic acute myocardial infarction. The electrocardiographic changes are frequently nonspecific, but include ST segment elevation and T wave changes, as well as conduction abnormalities. We report the case of a patient with fulminant myocarditis that presented with sinus rhythm, a conduction system abnormality, and severe ST segment elevation mimicking ventricular tachycardia. Myocarditis should be considered in young persons with unexplained heart failure and similar electrocardiographic abnormalities.
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