Document Detail

Electrocardiography of myocarditis revisited: clinical and prognostic significance of electrocardiographic changes.
MedLine Citation:
PMID:  1636589     Owner:  NLM     Status:  MEDLINE    
To clarify the clinical and prognostic value of the ECG, an ECG review was undertaken in 45 consecutive patients with a histologic diagnosis of active myocarditis (29 men and boys and 16 women and girls; age, 36.8 +/- 15 years; idiopathic myocarditis, 39 cases). In patients (21) with symptoms of recent onset (less than or equal to 1 month) AV block and repolarization abnormalities were the prevailing ECG features at the time of admission, and a pseudoinfarction pattern (Q waves plus ST-segment elevation) frequently heralded a rapidly fatal course ("fulminant myocarditis"). Left atrial enlargement and atrial fibrillation, left ventricular hypertrophy and LBBB, which prevailed in patients who had symptoms for longer periods, corresponded to the most severe degree of left ventricular dysfunction during the initial hemodynamic and echocardiographic evaluation. The overall mortality rate after 58 +/- 24 months from the time of diagnosis was 29%. Abnormal QRS complexes and LBBB were markers of poor survival, independently of initial indexes of left and right ventricular function, both of which indicate an increased propensity for sudden cardiac death.
T Morgera; A Di Lenarda; L Dreas; B Pinamonti; F Humar; R Bussani; F Silvestri; D Chersevani; F Camerini
Related Documents :
19029219 - Mri assessment of cardiac amyloidosis: experience of six cases with review of the curre...
22750409 - Zebrafish mef2ca and mef2cb are essential for both first and second heart field cardiom...
21969379 - Microrna-processing enzyme dicer is required in epicardium for coronary vasculature dev...
1378859 - Cardiomyopathy and myocarditis in children with ventricular ectopic rhythm.
12189289 - Difficult cases in heart failure: effective treatment of severe acute myocarditis with ...
6445739 - Histopathological study on right endomyocardial biopsy of kawasaki disease.
24411409 - Advances in sudden death prevention: the emerging role of a fully subcutaneous defibril...
22045969 - Comprehensive intravascular ultrasound assessment of stent area and its impact on reste...
18324459 - Anatomical pitfalls during encircling cryoablation of the left atrium for atrial fibril...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American heart journal     Volume:  124     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-08-24     Completed Date:  1992-08-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  455-67     Citation Subset:  AIM; IM    
Department of Cardiology, Ospedale Maggiore, Trieste, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arrhythmias, Cardiac / diagnosis
Follow-Up Studies
Heart Block / diagnosis
Hemodynamics / physiology
Italy / epidemiology
Life Tables
Myocarditis / diagnosis*,  mortality
Myocardium / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Assessment of reperfusion after thrombolytic therapy for myocardial infarction.
Next Document:  New developments in pharmacologic stress imaging.