Fulminant myocarditis
Keywords:
MYOCARDITIS, ACUTE HEART FAILURE, CARDIOGENIC SHOCKAbstract
Myocarditis is an inflammatory disease of the heart muscle, and globally, it is an important cause of dilated cardiomyopathy. Viral infection is also an important cause of myocarditis, and the range of virus causing myocarditis has changed in the last two decades. Acute heart failure is its main clinical manifestation, although it is not exclusive.
The study presents a patient under a cardiovascular condition characterized by thoracic pain, heart failure and malignant arrhythmias. Myocarditis was diagnosed and evolution was fulminant. Advanced hemodynamic monitoring was performed and mechanical circulatory support measures were taken, clinical results being bad.
References
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(2) Puranik R, Chow CK, Duflou JA, Kilborn MJ, McGuire MA. Sudden death in the young. Heart Rhythm 2005; 2(12):1277-82.
(3) Schultz JC, Hilliard AA, Cooper LT Jr, Rihal CS. Diagnosis and treatment of viral myocarditis. Mayo Clin Proc 2009; 84(11):1001-9.
(4) Unosawa S, Hata M, Sezai A, Niino T, Yoshitake I, Shimura K, et al. Successful management of fulminant myocarditis with left ventricular assist device: report of a severe case. Ann Thorac Cardiovasc Surg 2010; 16(1):48-51.
(5) Reina Toral A, Navarrete Sánchez I, Colmenero Ruiz M, Vázquez Mata G. Miocardiopatía y Miocarditis. En: Sociedad Andaluza de Medicina Intensiva, Urgencias y Coronarias. Principios de urgencia, emergencias y cuidados críticos. Sevilla: SAMIUC, 2014. Disponible en: http://tratado.uninet.edu/c0106i.html. Consulta:26 de abril de 2014.
(6) Kindermann I, Barth C, Mahfoud F, Ukena C, Lenski M, Yilmaz A, et al. Update on myocarditis. J Am Coll Cardiol 2012; 59(9):779-92.
(7) Mas-Stachurska A, Sitges M, Prat-Gonzalez S. Diagnóstico de la miocarditis: papel de las técnicas de imagen. Cardiocore 2012; 47(4):143-6.
(8) Ginsberg F, Parrillo JE. Fulminant myocarditis. Crit Care Clin 2013; 29(3):465-83.
(9) Shauer A, Gotsman I, Keren A, Zwas DR, Hellman Y, Durst R, et al. Acute viral myocarditis: current concepts in diagnosis and treatment. Isr Med Assoc J 2013; 15(3):180-5.
(10) Rockman HA, Adamson RM, Dembitsky WP, Bonar JW, Jaski BE. Acute fulminant myocarditis: long-term follow-up after circulatory support with left ventricular assist device. Am Heart J 1991; 121(3 Pt 1):922-6.
(11) Maisch B, Ruppert V, Pankuweit S. Management of fulminant myocarditis: a diagnosis in search of its etiology but with therapeutic options. Curr Heart Fail Rep 2014; 11(2):166-77.
(12) Cooper LT Jr. Myocarditis. N Engl J Med 2009; 360(15):1526-38.
(2) Puranik R, Chow CK, Duflou JA, Kilborn MJ, McGuire MA. Sudden death in the young. Heart Rhythm 2005; 2(12):1277-82.
(3) Schultz JC, Hilliard AA, Cooper LT Jr, Rihal CS. Diagnosis and treatment of viral myocarditis. Mayo Clin Proc 2009; 84(11):1001-9.
(4) Unosawa S, Hata M, Sezai A, Niino T, Yoshitake I, Shimura K, et al. Successful management of fulminant myocarditis with left ventricular assist device: report of a severe case. Ann Thorac Cardiovasc Surg 2010; 16(1):48-51.
(5) Reina Toral A, Navarrete Sánchez I, Colmenero Ruiz M, Vázquez Mata G. Miocardiopatía y Miocarditis. En: Sociedad Andaluza de Medicina Intensiva, Urgencias y Coronarias. Principios de urgencia, emergencias y cuidados críticos. Sevilla: SAMIUC, 2014. Disponible en: http://tratado.uninet.edu/c0106i.html. Consulta:26 de abril de 2014.
(6) Kindermann I, Barth C, Mahfoud F, Ukena C, Lenski M, Yilmaz A, et al. Update on myocarditis. J Am Coll Cardiol 2012; 59(9):779-92.
(7) Mas-Stachurska A, Sitges M, Prat-Gonzalez S. Diagnóstico de la miocarditis: papel de las técnicas de imagen. Cardiocore 2012; 47(4):143-6.
(8) Ginsberg F, Parrillo JE. Fulminant myocarditis. Crit Care Clin 2013; 29(3):465-83.
(9) Shauer A, Gotsman I, Keren A, Zwas DR, Hellman Y, Durst R, et al. Acute viral myocarditis: current concepts in diagnosis and treatment. Isr Med Assoc J 2013; 15(3):180-5.
(10) Rockman HA, Adamson RM, Dembitsky WP, Bonar JW, Jaski BE. Acute fulminant myocarditis: long-term follow-up after circulatory support with left ventricular assist device. Am Heart J 1991; 121(3 Pt 1):922-6.
(11) Maisch B, Ruppert V, Pankuweit S. Management of fulminant myocarditis: a diagnosis in search of its etiology but with therapeutic options. Curr Heart Fail Rep 2014; 11(2):166-77.
(12) Cooper LT Jr. Myocarditis. N Engl J Med 2009; 360(15):1526-38.
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Published
2015-03-31
How to Cite
1.
Yic CD, Pontet JC, Cancela M. Fulminant myocarditis. Rev. Méd. Urug. [Internet]. 2015 Mar. 31 [cited 2024 Nov. 24];31(1):53-7. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/225
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Clinical Cases
