Document Detail


Recurrence of myocarditis presenting as pacing and sensing failure after implantation of a permanent pacemaker at first onset.
MedLine Citation:
PMID:  11316137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 31-year-old woman was admitted to hospital with loss of consciousness and generalized convulsions. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a pulse rate of 30 beats/min. Endomyocardial biopsy from the right ventricle showed massive necrosis and degeneration of myocardial cells with extensive infiltration of lymphocytes into the interstitial space. These pathological findings suggested fulminant myocarditis. Following glucocorticoid therapy, the patient became asymptomatic, but the AV block did not resolve completely and a bifocal pacemaker was implanted. However, similar symptoms recurred 7 years later. An ECG showed pacing and sensing failure linked to an increase in the pacing threshold and a decrease in the sensing threshold. Endomyocardial biopsy from the right ventricle again showed interstitial infiltration with lymphocytes and eosinophils. After glucocorticoid therapy, she became asymptomatic once more, and the improvement in the pacing and sensing failure, and cardiomegaly, was satisfactory. This patient represents a very rare case of recurrence of acute myocarditis without progression, as much as 7 years after its first occurrence. Glucocorticoid therapy was still effective in treating the recurrent myocarditis presenting with pacing and sensing failure.
Authors:
M Arima; T Kanoh; Y Kawano; S Okazaki; T Oigawa; S Yamagami; S Matsuda
Related Documents :
19752327 - Systemic cardiac amyloidoses: disease profiles and clinical courses of the 3 main types.
8599257 - Sarcoidosis with cardiac involvement.
6292537 - Electrocardiographic abnormalities in syrian golden hamsters with coxsackievirus b1 myo...
10828777 - Viral myocarditis presenting with seizure and electrocardiographic findings of acute my...
15320757 - Acute actions of natriuretic peptides in coronary vasculature and ischaemic myocardium.
2910147 - Polymorphic ventricular tachycardia.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Japanese circulation journal     Volume:  65     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  2001 Apr 
Date Detail:
Created Date:  2001-04-23     Completed Date:  2001-09-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Juntendo Urayasu Hospital, Juntendo University School of Medicine, Chiba, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Anti-Inflammatory Agents / therapeutic use
Biopsy
Cardiac Pacing, Artificial
Combined Modality Therapy
Endocardium / pathology
Equipment Failure
Female
Glucocorticoids / therapeutic use
Heart Block / etiology,  therapy
Heart Failure / etiology
Humans
Myocarditis / complications,  diagnosis*,  drug therapy,  pathology,  therapy
Pacemaker, Artificial / adverse effects*
Recurrence
Steroids
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Glucocorticoids; 0/Steroids

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


Previous Document:  Repeated postpericardiotomy syndrome following a temporary transvenous pacemaker insertion, a perman...
Next Document:  Emotional stress-induced 'ampulla cardiomyopathy': discrepancy between the metabolic and sympathetic...