Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support

A 47-year-old man with ulcerative colitis was transferred to our hospital due to progressive dyspnea. Electrocardiography on admission showed ST elevation in leads II, III, aVF, and V5-V6. Coronary angiography revealed no remarkable coronary stenosis, and left ventriculography showed a depressed lef...

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Autores principales: Tagawa, Minoru, Nakamura, Yuichi, Okura, Yuji, Nanba, Hitomi, Kishi, Kenji, Akashi, Erina, Ochiai, Yukie, Asai, Yasuhiro, Chinushi, Masaomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522398/
https://www.ncbi.nlm.nih.gov/pubmed/30568130
http://dx.doi.org/10.2169/internalmedicine.1528-18
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author Tagawa, Minoru
Nakamura, Yuichi
Okura, Yuji
Nanba, Hitomi
Kishi, Kenji
Akashi, Erina
Ochiai, Yukie
Asai, Yasuhiro
Chinushi, Masaomi
author_facet Tagawa, Minoru
Nakamura, Yuichi
Okura, Yuji
Nanba, Hitomi
Kishi, Kenji
Akashi, Erina
Ochiai, Yukie
Asai, Yasuhiro
Chinushi, Masaomi
author_sort Tagawa, Minoru
collection PubMed
description A 47-year-old man with ulcerative colitis was transferred to our hospital due to progressive dyspnea. Electrocardiography on admission showed ST elevation in leads II, III, aVF, and V5-V6. Coronary angiography revealed no remarkable coronary stenosis, and left ventriculography showed a depressed left ventricular ejection fraction (EF) of 23%. Although the patient received percutaneous cardiopulmonary support, his EF progressively decreased (7-15%), and both ventricular tachycardia (VT) and high-degree atrial-ventricular block occurred. An endomyocardial biopsy showed eosinophilic infiltration in the myocardium. Steroid therapy improved the patient's EF. However, his severe inferior wall hypokinesis and non-sustained VT remained after the abovementioned treatment.
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spelling pubmed-65223982019-05-20 Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support Tagawa, Minoru Nakamura, Yuichi Okura, Yuji Nanba, Hitomi Kishi, Kenji Akashi, Erina Ochiai, Yukie Asai, Yasuhiro Chinushi, Masaomi Intern Med Case Report A 47-year-old man with ulcerative colitis was transferred to our hospital due to progressive dyspnea. Electrocardiography on admission showed ST elevation in leads II, III, aVF, and V5-V6. Coronary angiography revealed no remarkable coronary stenosis, and left ventriculography showed a depressed left ventricular ejection fraction (EF) of 23%. Although the patient received percutaneous cardiopulmonary support, his EF progressively decreased (7-15%), and both ventricular tachycardia (VT) and high-degree atrial-ventricular block occurred. An endomyocardial biopsy showed eosinophilic infiltration in the myocardium. Steroid therapy improved the patient's EF. However, his severe inferior wall hypokinesis and non-sustained VT remained after the abovementioned treatment. The Japanese Society of Internal Medicine 2018-12-18 2019-04-15 /pmc/articles/PMC6522398/ /pubmed/30568130 http://dx.doi.org/10.2169/internalmedicine.1528-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tagawa, Minoru
Nakamura, Yuichi
Okura, Yuji
Nanba, Hitomi
Kishi, Kenji
Akashi, Erina
Ochiai, Yukie
Asai, Yasuhiro
Chinushi, Masaomi
Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title_full Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title_fullStr Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title_full_unstemmed Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title_short Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
title_sort successful treatment of acute fulminant eosinophilic myocarditis in a patient with ulcerative colitis using steroid therapy and percutaneous cardiopulmonary support
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6522398/
https://www.ncbi.nlm.nih.gov/pubmed/30568130
http://dx.doi.org/10.2169/internalmedicine.1528-18
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