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 journalArticlepeer-review

7 Citations (Scopus)


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
Issue number8
Publication statusPublished - 2006

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine


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