Presence of plaques predicts worse outcomes in multi-detector computed tomography in patients with stable chest pain syndrome.
myocardial infarction and myocarditis were females (81%). Only one out of 21 patients with myocardial infarction and myocarditis had a stressful event preceding the acute cardiac illness. Consequently, patients with myocardial infarction and myocarditis had typical other clinical features of TS, and were predominantly females without a preceding stressor. It will be reasonable to conclude that myocarditis may have triggered TS in this group of patients or the myocarditis changes were parts of the pathology of TS. In conclusion, in spite of certain progress in the revised TIN diagnostic criteria for TS, there are many points in the previously existing and the new revised TIN criteria, which may encage the thoughts and create problems for the clinicians; they are the main reasons for exclusion of substantial numbers of patients who actually have TS. Acute coronary syndrome (caused by plaque rupture, dissection, thrombosis or spasm) may trigger rather than exclude TS. Acute chemical (noradrenaline) myocarditis may be a manifestation of a phase of the broad clinical continuum of TS. The author of this manuscript has certified that he complies with the principles of ethical publishing in the international journal of cardiology.