We report a case of a previously healthy man who presented with left-sided chest pain, ECG findings suggestive of ARVC, and a final diagnosis of myocarditis with underlying partial pericardial agenesis. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: A growing number of cases have reported pericardial agenesis demonstrating ECG changes similar to ARVC. We discuss an approach to a diagnostically challenging patient. This case emphasizes the importance of a broad differential and the danger of premature closure.
方法:我们报告一例以前健康的男性,他出现左侧胸痛,心电图结果提示ARVC,最终诊断为心肌炎并伴有部分心包发育不全。为什么急诊医生应该意识到这一点?:越来越多的病例报告心包发育不全,其心电图改变类似于ARVC。我们讨论了一种诊断挑战性患者的方法。这个案例强调了广泛差异的重要性和过早关闭的危险。