Recurrence of Myocarditis Presenting as Pacing and Sensing Failure After Implantation of a Permanent Pacemaker at First Onset
スポンサーリンク
概要
- 論文の詳細を見る
A 31-year-old woman was admitted to hospital with loss of consciousness and generalized convulsions. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a pulse rate of 30beats/min. Endomyocardial biopsy from the right ventricle showed massive necrosis and degeneration of myocardial cells with extensive infiltration of lymphocytes into the interstitial space. These pathological findings suggested fulminant myocarditis. Following glucocorticoid therapy, the patient became asymptomatic, but the AV block did not resolve completely and a bifocal pacemaker was implanted. However, similar symptoms recurred 7 years later. An ECG showed pacing and sensing failure linked to an increase in the pacing threshold and a decrease in the sensing threshold. Endomyocardial biopsy from the right ventricle again showed interstitial infiltration with lymphocytes and eosinophils. After glucocorticoid therapy, she became asymptomatic once more, and the improvement in the pacing and sensing failure, and cardiomegaly, was satisfactory, This patient represents a very rare case of recurrence of acute myocarditis without progression, as much as 7 years after its first occurrence. Glucocorticoid therapy was still effective in treating the recurrent myocarditis presenting with pacing and sensing failure.
- 社団法人日本循環器学会の論文
- 2001-03-20
著者
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KAWANO Yasunobu
Department of Cardiology, Juntendo University Urayasu Hospital
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ARIMA Mizuhiro
Department of Cardiology, International Goodwill Hospital
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KANOH Tatsuji
Department of Cardiovascular Medicine, Juntendo University
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OKAZAKI Shinya
Department of Cardiovascular Medicine, Juntendo University
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MATSUDA Shigeru
Department of Cardiovascular Medicine, Juntendo University Urayasu Hospital
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KANOH Takuji
Juntendo Urayasu Hosp.
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Kanoh Tatsuji
Department Of Cardiovascular Medicine Juntendo University
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Yamagami Shinichiro
Department of Cardiology, Juntendo University School of Medicine
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Kanoh Tatsuji
Department Of Int. Med. Juntendo Urayasu Hospita
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Arima Mizuhiro
Department Of Cardiology International Goodwill Hospital
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Okazaki Shinya
Department Of Cardiovascular Medicine Juntendo University
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Okazaki Shinya
Department Of Applied Chemistry & Biochemistry Faculty Of Engineering Kumamoto University
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Kawano Yasunobu
Department Of Cardiology Juntendo University Urayasu Hospital
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Kawano Yasunobu
Department Of Internal Medicine Division Of Cardiology Juntendo Urayasu Hospital Juntendo University
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Oigawa Tetsuya
Department of Internal Medicine, Division of Cardiology, Juntendo Urayasu Hospital, Juntendo Univers
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Oigawa Tetsuya
Cardiovascular Medicine Juntendo University Urayasu Hospital
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Yamagami Shinichiro
Department Of Internal Medicine Division Of Cardiology Juntendo Urayasu Hospital Juntendo University
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Matsuda Shigeru
Department Of Cardiovascular Medicine Juntendo University Urayasu Hospital
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Shimizu Mitsuru
Research Laboratory For Cardiovascular Pathology Division Of Cardiology Department Of Internal Medic
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Kano Tatsuji
Cardiovascular Division Juntendo University School Of Medicine
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Shimizu Mituru
Research Laboratory For Cardiovascular Pathology Juntendo University
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Yamagami Shinichiro
Department of Cardiology, Juntendo Tokyo Koto Geriatric Medical Center, Juntendo University School of Medicine, Japan
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Oigawa Tetsuya
Department of Cardiology, Juntendo University Urayasu Hospital
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