Cardiogenic Shock due to Left Ventricular Outflow Obstruction and Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy with Acute Myocarditis
スポンサーリンク
概要
- 論文の詳細を見る
A 67-year-old woman was referred to our hospital with a sudden syncopal attack. She suffered from cardiogenic shock due to left ventricular (LV) outflow stenosis with simultaneous complete atrioventricular (AV) block. An endomyocardial biopsy of the left ventricle demonstrated myocardial disarray and myocardial fibrous and edematous tissue with infiltration of mononuclear cells. Cardiac magnetic resonance imaging (cMRI) detected a damaged septal area that was likely associated with the conduction disturbance. The diagnosis was hypertrophic cardiomyopathy accompanied by acute myocarditis. Although the LV outflow stenosis was transient, the complete AV block was persistent, thus requiring permanent pacemaker implantation.
著者
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Komiya Norihiro
Department of Cardiology
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Fukae Satoki
Department of Cardiology
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Koide Yuji
Department Of Cardiovascular Medicine Graduate School Of Biomedical Sciences Nagasaki University
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Maemura Koji
Department Of Cardiovascular Medicine Course Of Medical And Dental Sciences Graduate School Of Biome
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Takeno Masayoshi
Department Of Cardiovascular Medicine Course Of Medical And Dental Sciences Graduate School Of Biome
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Yonekura Tsuyoshi
Department Of Cardiology Nagasaki Citizens Hospital
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Kawano Hiroaki
Department Cardiovascular Medicine Kumamoto University:division Of Intensive Care Unit Kumamoto Univ
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Abe Kuniko
Department Of Clinical Pathology Nagasaki University Hospital
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Doi Yoshinori
Department Of Circulation Neurology And Geriatrics Kochi Medical School Kochi University
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Takeno Masayoshi
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Kusumoto Saburo
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Abe Kuniko
Department of Pathology, Nagasaki University Hospital, Japan
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Yonekura Tsuyoshi
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Doi Yoshinori
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Komiya Norihiro
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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Maemura Koji
Department of Cardiovascular Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan
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TAKENO Masayoshi
Department of Cardiology, Nagasaki Citizens Hospital
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