An Autopsied Case of Acute Myocarditis With Myocardial Calcification
スポンサーリンク
概要
- 論文の詳細を見る
A 47-year-old woman was admitted with fever, hypotension, an elevated serum creatinine kinase level, and electrocardiographic abnormalities, which led to the diagnosis of acute myocarditis. She was placed on percutaneous cardiopulmonary support because of hemodynamic collapse on the third hospital day. Serial echocardiography showed gradual recovery of profound hypokinesis and edematous thickening of the left ventricle, but she died of sepsis on the 17th day without overt renal insufficiency or electrolytic abnormalities. Autopsy revealed myocardial necrosis with lymphocytic infiltrates and extensive myocardial calcification. Calcification was dense in the area of severe myocardial necrosis, and the distribution of calcium deposits suggested that the calcification was a consequence of significant inflammation of the myocardium. Recovery of regional wall motion was prominent in the area of severe inflammatory change. Dissociation between the pathologic and echocardiographic findings suggested the possibility of functional reversibility of severely damaged myocardium and possible mechanisms of abnormal contractile function other than inflammatory change.
- 社団法人日本循環器学会の論文
- 1997-08-20
著者
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ODA Hirotaka
Department of Cardiology, Niigata City General Hospital
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MIIDA Tsutomu
Department of Cardiology, Niigata City General Hospital
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Higuma Norio
Department of Cardiology, Niigata City General Hospital
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Oda Hirotaka
Niigata City General Hospital
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Oda Hirotaka
Department Of Cardiology Niigata City General Hospital
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Oda Hirotaka
Niigata Kobari Hospital
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Higuma Norio
The Department Of Cardiology Niigata City General Hospital
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Higuma Norio
Department Of Cardiology Niigata City General Hospital
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Saitoh Hideki
Department Of Cardiology Niigata City General Hospital
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Miida Tsutomu
Department Of Cardiology Niigata City General Hospital
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Itoh Eiichi
Department of Cardiology, Niigata Prefectural Shibata Hospital
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TOEDA TETSUROU
Department of Cardiology, Niigata City General Hospital
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Itoh Eiichi
Department Of Cardiology Niigata City General Hospital
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Toeda Tetsurou
Department Of Cardiollogy Niigata City General Hospital
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Okazaki Etsuo
Department of Pathology, Niigata City General Hospital
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Okazaki Etsuo
Department Of Pathology Niigata City General Hospital
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