| Recovery from complete atrioventricular block caused by idiopathic giant cell myocarditis after corticosteroid therapy. | |
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MedLine Citation:
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PMID: 9583449 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Giant cell myocarditis (GCM) is a rapidly progressive disease that leads to ventricular tachycardia or high-grade atrioventricular (A-V) block, frequently requiring a pacemaker. A 64-year-old woman developed syncope as a result of idiopathic GCM with A-V block. She required both a temporary and a permanent pacemaker. Two-dimensional echocardiography showed severely reduced wall motion. There was no histologic or clinical evidence to suggest sarcoidosis. Despite treatment with diuretics and an angiotensin-converting enzyme inhibitor, exertional dyspnea persisted. She received prednisolone 4 months after the onset of complete A-V block in the late phase of GCM. Prednisolone improved A-V nodal conduction in spite of the fact that there was no influence from LV wall motion, and sinus rhythm has continued for more than 2 years. In this patient, prednisolone was effective in the treatment of GCM. |
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Authors:
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H Hanawa; T Izumi; Y Saito; Y Ochiai; Y Okura; T Inomata; S Hirono; Y Ogawa; R Saito; M Kodama; N Higuma; Y Aizawa |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Japanese circulation journal Volume: 62 ISSN: 0047-1828 ISO Abbreviation: Jpn. Circ. J. Publication Date: 1998 Mar |
Date Detail:
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Created Date: 1998-07-14 Completed Date: 1998-07-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7806868 Medline TA: Jpn Circ J Country: AUSTRALIA |
Other Details:
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Languages: eng Pagination: 211-4 Citation Subset: IM |
Affiliation:
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First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents
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therapeutic use* Echocardiography Female Giant Cells Heart Block / drug therapy*, etiology*, physiopathology Humans Middle Aged Myocarditis / complications*, pathology, physiopathology Prednisolone / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 50-24-8/Prednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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