Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis

Differentiating between sarcoidosis and giant cell myocarditis (GCM) based on clinical presentation is difficult. We present the case of a 57-year-old woman who was initially diagnosed with GCM based on endomyocardial biopsy. The patient was refractory to standard management for GCM and went on to d...

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Detalles Bibliográficos
Autores principales: Durocher, Daniel, El-Hajjaji, Imane, Gilani, Syed O., Leong-Sit, Peter, Davey, Ryan A., De, Sabe K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8712583/
https://www.ncbi.nlm.nih.gov/pubmed/34993463
http://dx.doi.org/10.1016/j.cjco.2021.07.007
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author Durocher, Daniel
El-Hajjaji, Imane
Gilani, Syed O.
Leong-Sit, Peter
Davey, Ryan A.
De, Sabe K.
author_facet Durocher, Daniel
El-Hajjaji, Imane
Gilani, Syed O.
Leong-Sit, Peter
Davey, Ryan A.
De, Sabe K.
author_sort Durocher, Daniel
collection PubMed
description Differentiating between sarcoidosis and giant cell myocarditis (GCM) based on clinical presentation is difficult. We present the case of a 57-year-old woman who was initially diagnosed with GCM based on endomyocardial biopsy. The patient was refractory to standard management for GCM and went on to develop bidirectional ventricular tachycardia, a finding suggestive of sarcoidosis. Unfortunately, the patient eventually needed cardiac transplantation. The explanted heart demonstrated cardiac sarcoidosis. Bidirectional ventricular tachycardia has not been demonstrated in GCM, and its presence may help in distinguishing between GCM and cardiac sarcoidosis.
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spelling pubmed-87125832022-01-05 Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis Durocher, Daniel El-Hajjaji, Imane Gilani, Syed O. Leong-Sit, Peter Davey, Ryan A. De, Sabe K. CJC Open Case Report Differentiating between sarcoidosis and giant cell myocarditis (GCM) based on clinical presentation is difficult. We present the case of a 57-year-old woman who was initially diagnosed with GCM based on endomyocardial biopsy. The patient was refractory to standard management for GCM and went on to develop bidirectional ventricular tachycardia, a finding suggestive of sarcoidosis. Unfortunately, the patient eventually needed cardiac transplantation. The explanted heart demonstrated cardiac sarcoidosis. Bidirectional ventricular tachycardia has not been demonstrated in GCM, and its presence may help in distinguishing between GCM and cardiac sarcoidosis. Elsevier 2021-07-14 /pmc/articles/PMC8712583/ /pubmed/34993463 http://dx.doi.org/10.1016/j.cjco.2021.07.007 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Durocher, Daniel
El-Hajjaji, Imane
Gilani, Syed O.
Leong-Sit, Peter
Davey, Ryan A.
De, Sabe K.
Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title_full Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title_fullStr Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title_full_unstemmed Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title_short Bidirectional Ventricular Tachycardia in a Patient With Fulminant Myocarditis Secondary to Cardiac Sarcoidosis Mimicking Giant Cell Myocarditis
title_sort bidirectional ventricular tachycardia in a patient with fulminant myocarditis secondary to cardiac sarcoidosis mimicking giant cell myocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8712583/
https://www.ncbi.nlm.nih.gov/pubmed/34993463
http://dx.doi.org/10.1016/j.cjco.2021.07.007
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