Inotropic support was stopped and mild hypertension was treated with vasodilators if necessary. The epidemiology, pathophysiology, clinical presentation, methods of diagnosis, management options and prognosis of fulminant myocarditis are reviewed in detail.Myocarditis could account for up to 10% of acute-onset heart failure cases; viral infections are responsible in the majority of instancesThe pathophysiology of myocarditis involves both direct, virally mediated myocyte injury and immune-mediated tissue injuryPatients with fulminant myocarditis often present with cardiogenic shock and multiorgan failure; several clinical and laboratory findings enable the practicing physician to differentiate fulminant from nonfulminant myocarditisEndomyocardial biopsy serves a critical role in the management of fulminant myocarditis and is an essential diagnostic tool to help differentiate myocarditis from giant cell myocarditis and necrotizing eosinophilic myocarditisPatients with fulminant myocarditis should be managed with aggressive inotropic support with or without placement of an intra-aortic balloon pump; if the patient does not respond rapidly to aggressive supportive therapy, insertion of a ventricular assist device should be considered at an early stageWith aggressive supportive care, complete ventricular recovery occurs in the majority of patients with fulminant myocarditis; however, even after ventricular recovery, standard heart-failure medications should be administered indefinitelyGet time limited or full article access on ReadCube.Leiden JM (1997) The genetics of dilated cardiomyopathy—emerging clues to the puzzle. All patients underwent cardiopulmonary resuscitation before implantation (Stabilization of circulation was achieved within a few hours after implantation in six of seven patients. 5 Another case also indicated that the steroid therapy was not banned for lymphocytic myocarditis before excluding viral infection. Young patients with fulminant myocarditis should be rapidly transferred to a clinic with a mechanical circulatory support program to offer this life-saving option.The three implanted devices have been described extensively.The Medos-system (Medos, Stolberg, Germany) has similar characteristics as the Thoratec device. By continuing to use this website you are giving consent to cookies being used. Springer The authors declare no competing financial interests.

McCarthy RE 3rd, Boehmer JP, Hruban RH, Hutchins GM, Kasper EK, Hare JM, Baughman KL.N Engl J Med.

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Get the most important science stories of the day, free in your inbox. Purpose of review: To review the clinical features of acute myocarditis, including its fulminant presentation, and present a pragmatic approach to the diagnosis and treatment, considering indications of American and European Scientific Statements and recent data derived by large contemporary registries. 6. The purpose of this study was to analyze the clinical course of patients with fulminant myocarditis treated with a percutaneous cardiopulmonary support system (PCPS). Message: He was genetically confirmed as having COVID-19 according to sputum testing on the day of admission. The mean support time was 163 days (56–258 days). For immediate assistance, contact Customer Service: Both bridging to recovery and bridging to heart transplantation are possible. Springer

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