Complete atrioventricular block associated with regional myocardial scarring in a patient with coxsackie B2 myocarditis.
スポンサーリンク
概要
- 論文の詳細を見る
Transient atrioventricular (A-V) conduction abnormalities are often experienced in patients with evolving acute viral myocarditis, but persistent complete A-V block requiring permanent cardiac pacing is rare. We describe a case who developed irreversible complete A-V block during the long-term course of Coxsackie B2 myocarditis. The endomyocardial biopsy revealed inflammatory cellular infiltrates and myocyte necrosis. A left ventriculogram and echocardiogram consistently demonstrated an aneurysm in the basal portion of the interventricular septum. It was speculated that the extensive myocardial scar caused by acute myocarditis resulted in the ventricular aneurysm of this particular myocardial region involving the A-V conduction system.
- International Heart Journal刊行会の論文
著者
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Onikura Shunichiro
Department of Cardiology, Surugadai Nihon university Hospital
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Suzuki Toshihide
Department Of Cardiology Surugadai Nihon Univ.hospital
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Mizukawa Shinjiro
Department of Cardlology Surugadai Nihon University Hospital
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Osaku Akio
Department Of Cardiology Surugadai Nihon University Hospital
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Koyama Sumio
Department Of Cardiology Amagasaki Central Hospital
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Uchiyama Takahisa
Department Of Cardiology Nihon University Nerimahikarigaoka Hospital
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Sawada Tatsuo
Department Of Mechanical Engineering Keio University
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Kanmatsuse Katsuo
Department Of Cardiology
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Yagi Hiroshi
Department Of Biological Chemistry Yamaguchi University
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Sato Yuichi
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Kajiwara Nagao
Departmemt of Cardiology, Surugadai Nihon University Hospital
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KANMATSUSE Katsuo
Departments of Cardiology Surugadai Nihon University
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SUZUKI Toshihide
Departments of Pediatrics Surugadai Nihon University
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KOYAMA Sumio
Departments of Cardiology Surugadai Nihon University
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UCHIYAMA Takahisa
Departments of Cardiology Surugadai Nihon University
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SAWADA Tatsuo
Departments of Pathology Surugadai Nihon University
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