Acute Myocarditis in a Patient with Newly Diagnosed Granulomatosis with Polyangiitis
Joint Authors
Pareek, Manan
Munch, Anne
Sundbøll, Jens
Høyer, Søren
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 22-year-old woman recently diagnosed with granulomatosis with polyangiitis (GPA) was admitted to the department of cardiology due to chest pain and shortness of breath.
The ECG showed widespread mild PR-segment depression, upwardly convex ST-segment elevation, and T-wave inversion.
The troponin T level was elevated at 550 ng/L.
Transthoracic echocardiography showed basal inferoseptal thinning and hypokinesis, mild pericardial effusion, and an overall preserved left ventricular ejection fraction of 55%.
Global longitudinal strain, however, was clearly reduced.
Cardiac magnetic resonance imaging (MRI) showed findings consistent with myocarditis but the etiology of the apical hypokinesis could not be determined with certainty and may well have been due to a myocardial infarction, a notion supported by a coronary angiogram displaying slow flow in the territory of the left anterior descending artery.
Finally, an endomyocardial biopsy confirmed the diagnosis of myocarditis.
The cardiac symptoms subsided upon treatment with high-dose prednisolone and rituximab.
American Psychological Association (APA)
Munch, Anne& Sundbøll, Jens& Høyer, Søren& Pareek, Manan. 2015. Acute Myocarditis in a Patient with Newly Diagnosed Granulomatosis with Polyangiitis. Case Reports in Cardiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058079
Modern Language Association (MLA)
Munch, Anne…[et al.]. Acute Myocarditis in a Patient with Newly Diagnosed Granulomatosis with Polyangiitis. Case Reports in Cardiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058079
American Medical Association (AMA)
Munch, Anne& Sundbøll, Jens& Høyer, Søren& Pareek, Manan. Acute Myocarditis in a Patient with Newly Diagnosed Granulomatosis with Polyangiitis. Case Reports in Cardiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058079
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058079