Table 1 Differential diagnosis in acute myopericarditis

ECG

ST concave elevation, PR depression except for aVR

History

Upper respiratory tract infection

Type of pain

Mixed

Cardiac MRI (T2)

Myocyte damage, edema, inflammation

Endo-myocardial biopsy (acute phase)

Interstitial edema, myocyte damage, lymphocytic infiltration

Coronary angiography

Normal

Echocardiography

Transient left ventricular wall thickening, pericardial effusion, tissue Doppler abnormality, detection of regional contractile and perfusion abnormalities in strain imaging/mapping and myocardial contrast echocardiography, myocardial heterogeneity

Therapy

Anti-inflammatory treatment