Chest pain in two athletic male adolescents mimicking myocardial infarction.

[acute rheumatic fever]

Acute chest pain with elevated troponin and CK-MB levels and focal ST elevation on electrocardiogram is considered to be myocardial infarction unless proven otherwise . The cardiac enzymes can be elevated in other etiologies of chest pain including myopericarditis , pulmonary embolism , acute rheumatic fever , and trauma . Therefore , patients presenting with chest pain and elevated cardiac enzymes should be carefully evaluated for other etiologies after ruling out acute coronary process . We report 2 male adolescents with myopericarditis who presented to the emergency department with chest pain and elevated cardiac enzymes .