Clinical course of myocarditis through the acute, fulminant and fatal chronic stages - An autopsy case

Shinya Hiramitsu, Shin Ichiro Morimoto, Shigeru Kato, Akihisa Uemura, Masatsugu Ohtsuki, Yasuchika Kato, Kenji Miyagishima, Nami Mori, Ryuji Yoda, Kazumasa Mori, Hisashi Kimura, Naoki Yamamoto, Hitoshi Hishida

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Most patients with acute myocarditis manifest particular clinical signs and symptoms, including marked cardiac failure and/or a high degree of atrioventricular block on admission. However, a 78-year-old man did not have symptoms and was hospitalized as a result of abnormalities observed on an incidentally obtained electrocardiogram (ECG). Several days later, he developed cardiogenic shock and fulminant myocarditis, which required percutaneous cardiopulmonary support; however, the cardiac failure persisted and he died approximately 4 months later. The ECG showed findings similar to those of acute inferior myocardial infarction, and on left ventriculography, diffuse hypokinesis was observed most prominently in the inferoposterior wall. During autopsy, interstitial fibrosis was marked in the inferoposterior wall, with small, round, cell infiltration prominent at the same site. Clustering of these cells is a characteristic feature of chronic myocarditis.

Original languageEnglish
Pages (from-to)1086-1090
Number of pages5
JournalCirculation Journal
Volume70
Issue number8
DOIs
Publication statusPublished - 08-08-2006

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Myocarditis
Autopsy
Electrocardiography
Heart Failure
Inferior Wall Myocardial Infarction
Cardiogenic Shock
Atrioventricular Block
Signs and Symptoms
Cluster Analysis
Fibrosis

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Hiramitsu, S., Morimoto, S. I., Kato, S., Uemura, A., Ohtsuki, M., Kato, Y., ... Hishida, H. (2006). Clinical course of myocarditis through the acute, fulminant and fatal chronic stages - An autopsy case. Circulation Journal, 70(8), 1086-1090. https://doi.org/10.1253/circj.70.1086
Hiramitsu, Shinya ; Morimoto, Shin Ichiro ; Kato, Shigeru ; Uemura, Akihisa ; Ohtsuki, Masatsugu ; Kato, Yasuchika ; Miyagishima, Kenji ; Mori, Nami ; Yoda, Ryuji ; Mori, Kazumasa ; Kimura, Hisashi ; Yamamoto, Naoki ; Hishida, Hitoshi. / Clinical course of myocarditis through the acute, fulminant and fatal chronic stages - An autopsy case. In: Circulation Journal. 2006 ; Vol. 70, No. 8. pp. 1086-1090.
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Hiramitsu, S, Morimoto, SI, Kato, S, Uemura, A, Ohtsuki, M, Kato, Y, Miyagishima, K, Mori, N, Yoda, R, Mori, K, Kimura, H, Yamamoto, N & Hishida, H 2006, 'Clinical course of myocarditis through the acute, fulminant and fatal chronic stages - An autopsy case', Circulation Journal, vol. 70, no. 8, pp. 1086-1090. https://doi.org/10.1253/circj.70.1086

Clinical course of myocarditis through the acute, fulminant and fatal chronic stages - An autopsy case. / Hiramitsu, Shinya; Morimoto, Shin Ichiro; Kato, Shigeru; Uemura, Akihisa; Ohtsuki, Masatsugu; Kato, Yasuchika; Miyagishima, Kenji; Mori, Nami; Yoda, Ryuji; Mori, Kazumasa; Kimura, Hisashi; Yamamoto, Naoki; Hishida, Hitoshi.

In: Circulation Journal, Vol. 70, No. 8, 08.08.2006, p. 1086-1090.

Research output: Contribution to journalArticle

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