Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support
-
- Tagawa Minoru
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
-
- Nakamura Yuichi
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
-
- Okura Yuji
- Department of Cardiology, Niigata Cancer Center Hospital, Japan
-
- Nanba Hitomi
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
-
- Kishi Kenji
- Department of Hematology, Nagaoka Chuo General Hospital, Japan
-
- Akashi Erina
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
-
- Ochiai Yukie
- Department of Cardiology, Nagaoka Chuo General Hospital, Japan
-
- Asai Yasuhiro
- Yuzawa Community Medical Center, Japan
-
- Chinushi Masaomi
- Graduate School of Health Science, Niigata University School of Medicine, Japan
この論文をさがす
抄録
<p>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. </p>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 58 (8), 1111-1118, 2019-04-15
一般社団法人 日本内科学会