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Myopericarditis — RCPSC EM MCQ

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ModerateCardiovascular emergenciesMyopericarditisRCPSC EM

A 36-year-old after viral illness has pleuritic chest pain improved by sitting forward. ECG shows diffuse concave ST elevation with PR depression, troponin is mildly elevated, echo shows no effusion, and vitals are stable. What is the most likely diagnosis?

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Correct answer: E — Acute myopericarditis

Pleuritic positional pain with diffuse ST elevation and PR depression is pericarditis; mild troponin elevation suggests myopericarditis.

Reference: Canadian cardiovascular emergency practice; CCS myocarditis/pericarditis principles