Treatment of Fulminant Giant Cell Myocarditis Associated with Polymyositis Using a Left Ventricular Assist Device and Subsequent Corticosteroid and Immunosuppressive Therapy Leading to Remission
| العنوان: | Treatment of Fulminant Giant Cell Myocarditis Associated with Polymyositis Using a Left Ventricular Assist Device and Subsequent Corticosteroid and Immunosuppressive Therapy Leading to Remission |
|---|---|
| المؤلفون: | Hidekazu Tanaka, Ryo Takeshige, Yukio Tsuji, Ken-ichi Hirata, Hiroshi Tanaka, Junichi Ooka, Kensuke Matsumoto, Shumpei Mori, Shigeo Hara, Yutaka Okita, Yutaka Hatani |
| المصدر: | Internal Medicine |
| بيانات النشر: | Japanese Society of Internal Medicine, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, medicine.medical_treatment, Fulminant, corticosteroid therapy, immunosuppressive therapy, Shock, Cardiogenic, Case Report, 030204 cardiovascular system & hematology, Giant Cells, Polymyositis, Ventricular Function, Left, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, left ventricular assist device, Internal Medicine, Humans, Medicine, 030212 general & internal medicine, Glucocorticoids, Ejection fraction, business.industry, Myocardium, Cardiogenic shock, Remission Induction, Muscle weakness, General Medicine, Myocardial contusion, Middle Aged, medicine.disease, Myocarditis, Giant cell, Ventricular assist device, Cardiology, fulminant giant cell myocarditis, Drug Therapy, Combination, Heart-Assist Devices, medicine.symptom, business, Immunosuppressive Agents |
| الوصف: | A 58-year-old man with a recent history of generalized myalgia and muscle weakness was transferred to our hospital because of acute progressive dyspnea. The patient underwent left ventricular (LV) assist device (LVAD) implantation due to cardiogenic shock with a LV ejection fraction (LVEF) of 6%. The histological findings obtained from LV apex showed the infiltration of multinucleated giant cells and severe myocardial contusion. Combining this histological finding with our experienced neurologists comments, resulted in a final diagnosis of fulminant giant cell myocarditis associated with polymyositis. A day after LVAD implantation, the patient received corticosteroid and immunosuppressive therapy, and the LVEF recovered to 68%. |
| تدمد: | 1349-7235 0918-2918 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8f5a354a14709891684c4421a6631532Test https://doi.org/10.2169/internalmedicine.8639-16Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8f5a354a14709891684c4421a6631532 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13497235 09182918 |
|---|