Echocardiographic findings in fulminant and acute myocarditis

Felker, G. Michael; Boehmer, John; Hruban, Ralph H.; Hutchins, Grover M.; Kasper, Edward K.; Baughman, Kenneth L.; Hare, Joshua M.

doi:10.1016/s0735-1097(00)00690-2

Cited by 377 publications

(265 citation statements)

References 22 publications

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“…Echocardiography is an important tool in the diagnosis of myocardial dysfunction and is able to exclude other anatomical causes of heart failure and helps to identify the [6]. Our patient had severe left ventricular systolic dysfunction, an ejection fraction of 15% and severe mitral regurgitation.…”

Section: Discussionmentioning

confidence: 85%

A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

M.¹,

Subramanyam²,

R.³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. We hereby present a three-year-old girl, previously asymptomatic, who developed rapid onset tachycardia, hypotension and cardiorespiratory arrest following an episode of respiratory tract infection. The patient was treated with anti-arrhythmic drugs, inotropes, and cardioversion after being diagnosed as atrial tachycardia, but the rhythm did not revert to sinus rhythm. Due to deteriorating condition patient was put on extra corporeal membrane oxygenation (ECMO) and supported for 131 hours along with supportive and IVIG treatment. After improvement in ejection fraction, patient was weaned off ECMO. The rhythm reverted to sinus after three days of admission and antiarrhythmics were gradually tapered. Patient was discharged on 17th day of admission in a stable condition with an ejction fraction of 58%. Conclusion: Timely extracorporeal membrane oxygenation (ECMO) support in fulminant acute myocarditis (FAM) with refractory atrial tachycardia and shock due to myocarditis, along with medical treatment could prevent lethal outcomes. IJCRI publishes

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Section: Discussionmentioning

confidence: 85%

A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

M.¹,

Subramanyam²,

R.³

et al. 2017

IJCRI

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“…27,28 Miyokarditli hastalarda EKO'da segmentel duvar hareket bozuklukları (hipokinetik, akinetik ve diskinetik alanlar), 29 miyokart üze-rinde nadiren parlaklık, heterojenite ve kontrast artışı gösterilebilir. 30 Pediyatrik yaş grubunda EKO ile gösterilen dilate kardiyomiyopati sıklığı %12-44 arasında bildirilmektedir.…”

Section: Discussionunclassified

Retrospective Evaluation of 28 Patients Diagnosed as Acute Myo/Pericarditis: Properties of an Epidemia

Özyurt¹,

Baykan²,

Pamukçu³

et al. 2013

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Kliniğimizde akut miyo/perikardit tanısı alan hastaların demografik, klinik, laboratuar ve gö-rüntüleme özellikleri, bu özelliklerle hastalığın morbiditesi arasındaki ilişkinin araştırılması amaçlandı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma retrospektif kesitsel bir çalışma olarak tanımlandı. Ekim 2011-Mart 2012 tarihlerinde olası viral bir salgında miyo/perikardit tanısı konan 28 pediyatrik hastanın verileri kaydedildi. Hastalardan tam kan sayımı, C-reaktif protein (CRP), sedimentasyon, troponin I, kreatin kinaz (CK), kreatin kinaz MB izoenzimi (CK-MB), N-Terminal Pro-Brain Natriüretik Peptid (NT-ProBNP), viral seroloji için numuneler gönderildi. Elektrokardiyografi (EKG), ekokardiyografi, bazılarına anjiyokardiyografi ve perikardiyosentez yapıldı. B Bu ul lg gu ul la ar r: : Üç hastaya akut perikardit, 25 hastaya miyoperikardit tanısı kondu. Yirmi beş hastada (%89,3) CK-MB yüksekliği, dokuz hastada (%32,1) troponin I, yedi hastada (%25) NTProBNP yüksekliği, dokuz hastada (%32,1) aritmi, altı hastada (%21,4) dilate kardiyomiyopati, üç hastada (%10,7) masif perikardiyal efüzyon gözlendi. On bir hasta (%39,3) yatırıldı, diğerleri ayaktan takip edildi. Ölüm gözlenmedi. Troponin I yüksekliğiyle ejeksiyon fraksiyonu-fraksiyonel kısalma (EF-FS) düşüklüğü, CK-MB, CRP değerleri ve hastaneye yatış arasında istatistiksel olarak anlamlı pozitif ilişki vardı. Hastaneye yatışı göstermede yaş, EF-FS, Troponin I ve NT-ProBNP değerleri istatistiksel olarak anlamlı bulundu. Troponin I ile CK-MB, CRP düzeyleri arasında pozitif (sırasıyla p=0,002 ve 0,12), troponin I ile EF-FS arasında negatif korelasyon vardı (sırasıyla p=0,002 ve p=0,12). Yaş, troponin I, NT-ProBNP dü-zeyleriyle hastaneye yatış arasında pozitif (sırasıyla p=0,009, p=0,01 ve p<0,001) EF, FS düzeyleriyle negatif ilişki belirlendi (p=0,001 ve p=0,009). S So on nu uç ç: : Özellikle sonbahar-kış dönemlerinde göğüs ağrısı, çarpıntı gibi şikâyetlerle başvuran ve öyküsünde viral üst solunum yolu enfeksiyonu olan hastalarda miyo/perikardit akla gelmelidir. Çoğu zaman kendini sınırlayan bir hastalık olmasına rağmen EKG'de aritmi, troponin ve NT-ProBNP yüksekliği kardiyomiyopati, hastaneye yatış gereksinimi yönünden uyarıcı parametreler olmalı, bu hastalar pediyatrik kardiyoloğa yönlendirilmelidir.A An na ah ht ta ar r K Ke el li im me el le er r: : Ekokardiyografi; miyokarditler; perikardiyal efüzyon; perikarditler; troponin I A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : We aimed to show the relationships between morbidity and demographic, clinical, laboratory, imaging properties of the patients who have myo/pericarditis. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : It was cross-sectional retrospective study. Twenty eight pediatric patients diagnosed as myo/pericarditis in a viral epidemia between November 2011-March 2012 were included in the study. Complete blood count, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), troponin I, creatine kinase (CK), creatine kinase isoenzyme M...

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“…Echocardiography in fulminant myocarditis show non-dilated, thickened and hypocontratile left ventricle resulting from interstial oedema. 5 Patients with viral myocarditis should be treated with limited physical activity and standard treatment of heart failure with diuretics, beta-blockers, angiotensin-converting enzyme inhibitors and receptor blockers. Short term use of prednisolone and azathioprine improves long term left ventricular function.…”

Section: Discussionmentioning

confidence: 99%

Acute fulminating viral myocarditis: clinically mimicking ARDS

Sit

Kaushik

Bandyopadhyay

et al. 2012

Bangladesh J Med Sci

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Viral myocarditis usually presented with influenza like manifestations, cardiac symptoms and signs related to myocarditis. We are presenting a case which was clinically mimicking acute respiratory distress syndrome but careful history taking with chest x-ray examination saves life of the patient. Key words: viral myocarditis, ARDSIntroduction ARDS (acute respiratory distress syndrome) is a life threatening condition of the respiratory system. Main causes of ARDS are severe infections (pulmonary and extra-pulmonary); trauma (pulmonary and extra-pulmonary); and others (inhalation of toxins, aspiration of gastric content, near drowning, pancreatitis, drugs etc.).1 The diagnosis of ARDS is based on acute onset of respiratory distress, bilateral infiltrates on chest radiology, severe hypoxia with PaO2/FiO2 ratio = 200 (PaO2 = partial pressure of arterial oxygen; FiO2 = percentage of inspired oxygen), identification of etiological factor and exclusion of cardiogenic pulmonary edema by pulmonary artery wedge pressure = 18 mm Hg or absence of clinical evidence of left atrial hypertension.2 As measurement of pulmonary capillary wedge pressure is invasive and has many fallacies, in usual clinical practice left heart disease is excluded by clinical assessment as well as absence of cardiomegaly. Differential diagnosis of ARDS includes left ventricular failure, acute interstitial pneumonia, diffuse alveolar haemorrhage, acute eosinophilic pneumonia, hypersensitivity pneumonitis, post obstructive pulmonary edema and bilateral pneumonia.

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Echocardiographic findings in fulminant and acute myocarditis

Cited by 377 publications

References 22 publications

A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

A child with fulminant acute myocarditis rescued with extracorporeal membrane oxygenation

Retrospective Evaluation of 28 Patients Diagnosed as Acute Myo/Pericarditis: Properties of an Epidemia

Acute fulminating viral myocarditis: clinically mimicking ARDS

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