Document Detail


Early non-invasive diagnosis and treatment of acute eosinophilic myopericarditis by cardiac magnetic resonance.
MedLine Citation:
PMID:  22065913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of early non-invasive diagnosis of acute eosinophilic myopericarditis (AEM) by cardiovascular magnetic resonance (CMR) before cardiac biopsy. A 35-yr-old woman presented with a flu-like illness, followed by pleuritic chest pain and shortness of breath. Transthoracic echocardiography revealed mild left ventricular (LV) systolic dysfunction with borderline LV wall thickness and moderate pericardial effusion. The patient had peripheral eosinophilia and CMR was performed immediately at first day of visit before cardiac biopsy. CMR showed diffuse subepicardial high T2 signals and diffuse late gadolinium enhancement in LV. Steroid therapy was immediately initiated and patient's symptom was rapidly improved. Endomyocardial biopsy at hospital day 3 reported multifocal mild infiltration of eosinophils and lymphocytes. The patient was finally confirmed as acute eosinophilic myopericarditis. This presentation emphasizes on the role of CMR which enables early non-invasive diagnosis of AEM and visualize the extent of the myocarditis.
Authors:
Eun Young Kim; Sung-A Chang; Yoo-Kyung Lee; Jin-Oh Choi; Yeon Hyeon Choe
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-10-27
Journal Detail:
Title:  Journal of Korean medical science     Volume:  26     ISSN:  1598-6357     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-08     Completed Date:  2012-05-22     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  1522-6     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Early Diagnosis
Echocardiography
Eosinophilia / diagnosis*
Female
Gadolinium / diagnostic use
Humans
Magnetic Resonance Imaging
Pericarditis / diagnosis*,  drug therapy*,  pathology
Ventricular Dysfunction, Left / diagnosis,  drug therapy,  pathology
Chemical
Reg. No./Substance:
7440-54-2/Gadolinium
Comments/Corrections

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