July 1983

Myocardial Infarction Following an Acute Viral Illness

Author Affiliations

From the Division of Cardiology, Department of Medicine, Oregon Health Sciences University (Drs Kron, Lucas, and McAnulty) and the Department of Medicine, St Vincent Hospital (Dr Lee), Portland, Ore.

Arch Intern Med. 1983;143(7):1466-1467. doi:10.1001/archinte.1983.00350070194031

• A 24-year-old man was admitted to our coronary care unit with a transmural lateral wall myocardial infarction 48 hours after the onset of a viral illness. Coronary angiography two months following the patient's discharge from the hospital disclosed normal left ventricular wall motion and coronary anatomy. The pathophysiologic mechanisms of myocardial infarction in the setting of normal coronary arteries are reviewed. The possibility of a viral-induced myopericarditis is raised.

(Arch Intern Med 1983;143:1466-1467)