There was no history of foreign travel or medication changes. The key to success is a rapid systematic assessment using modern cardiac imaging and endomyocardial biopsy to establish a firm diagnosis. Furthermore, we provide evidence that the histologic subtype of FM carries independent prognostic value, highlighting the need for timely endomyocardial biopsy in this condition.Dr. Fulminant myocarditis as a primary manifestation of H1N1 is rare. Dr. Schmidt has received lecture fees from Getinge, Drager, and Xenios. 1, Parrillo JE.

Dr. Camici is a consultant for Servier. Tel: +44 (0)161 2912092; Fax: +44 (0)161 2912091. We describe a case of a young athlete presenting with chest pain and breathlessness, with evidence of rapidly deteriorating cardiac function. He had a neutrophilia of 9.7 × 10Eosinophilic myocarditis is an uncommon condition; however, the true incidence is unknown.
By continuing to browse this site, you agree to its use of cookies as described in our I have read and accept the Wiley Online Library Terms and Conditions of UseEosinophilic myocarditis: case series and review of literatureJapanese Circulation Society; Joint Working Group for Guidelines for Diagnosis and Treatment of Cardiovascular DiseasesGuidelines for diagnosis and treatment of myocarditis (JCS 2004)Fulminant necrotizing eosinophilic myocarditis: a case report and comprehensive literature reviewChanges in the peripheral eosinophil count in patients with acute eosinophilic myocarditisCurrent treatment options in (peri)myocarditis and inflammatory cardiomyopathyUsefulness of rabbit anti‐thymocyte globulin in patients with giant cell myocarditisEosinophilic myocarditis: case series and review of literatureAcute necrotizing eosinophilic myocarditis as a manifestation of severe hypersensitivity myocarditis: antemortem diagnosis and successful treatmentAcute necrotizing eosinophilic myocarditis successfully treated by high dose methylprednisoloneCardiovascular magnetic resonance for the diagnosis of acute myocarditis: prospects for detecting myocardial inflammationAbdominal complaints as a common first presentation of heart failure in adolescents with dilated cardiomyopathyRecognition and Initial Management of Fulminant Myocarditis: A Scientific Statement From the American Heart Association, Successful Treatment of Acute Fulminant Eosinophilic Myocarditis in a Patient with Ulcerative Colitis Using Steroid Therapy and Percutaneous Cardiopulmonary Support, Inflammation of the Myocardium, Endocardium and Aorta, Pathology of Heart Disease in the Fetus, Infant and Child, Current Treatment Options in Cardiovascular Medicine, Long Non-coding RNA Expression Profile and Functional Analysis in Children With Acute Fulminant Myocarditis, Using Cox multivariate analysis, the histologic subtype emerged as a further variable affecting the outcome in FM patients, with giant cell myocarditis having a significantly worse prognosis compared with eosinophilic and lymphocytic myocarditis. A biopsy was required to establish the histological form of myocarditis because treatment depends on the nature of the inflammation.Fulminant necrotizing eosinophilic myocarditis presents as fulminant heart failure; the absence of extra‐cardiac involvement distinguishes it from other forms of eosinophilic myocarditis such as hypersensitivity myocarditis (HSM).The key to successful treatment of this rapidly progressive and potentially fatal form of myocarditis is early recognition.
Harefield Hospital, Hill End Road, Harefield, UB9 6JH UKCorrespondence to: Dr Paul Callan, Consultant in Advanced Heart Failure and Transplantation, University Hospital South Manchester, Wythenshawe Hospital, Southmoor Road, Wythenshawe M23 9LT, UK. Dr. Shah has received grant support from Abbott, Medtronic, and Merck; and is a consultant for NuPulse CV and Ortho Clinical Diagnostics. Email: Harefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKHarefield Hospital, Hill End Road, Harefield, UB9 6JH UKCorrespondence to: Dr Paul Callan, Consultant in Advanced Heart Failure and Transplantation, University Hospital South Manchester, Wythenshawe Hospital, Southmoor Road, Wythenshawe M23 9LT, UK. It also highlights the value of endomyocardial biopsy in establishing a tissue diagnosis in cases of fulminant myocarditis, in order to direct treatment appropriately.A 19‐year‐old professional sportsman was admitted because of acute central chest pain and breathlessness, which began during exercise. There is focal cardiomyocyte damage. Consultant Cardiologist, Royal Brompton and Harefield NHS Trust.Dr Mohammed Kamal Clinical Fellow, Anaesthetics, Royal Brompton and Harefield NHS Trust.Dr Joyce Wong, Consultant Cardiologist, Royal Brompton and Harefield NHS Trust.Dr Rebecca Lane, Consultant Cardiologist, Royal Brompton and Harefield NHS Trust.Dr Jan Lukas Robertus, Consultant Histopathologist, Royal Brompton and Harefield NHS Trust.Dr Nicholas Banner, Consultant in Advanced Heart Failure and Cardiac Transplantation, Royal Brompton and Harefield NHS Trust.Use the link below to share a full-text version of this article with your friends and colleagues. He was known to have a bicuspid aortic valve with moderate regurgitation. Following treatment LV wall thickness returned to normal (D), with no evidence of myocardial oedema or LGE (E,F).Echocardiogram images before (left column), and after (right column) treatment. A computed tomography (CT) aortogram demonstrated normal origin of the coronary arteries, no evidence of proximal coronary disease or aortic dissection.Troponin I was 13 530 ng/mL (normal range <40 ng/mL). Survival and Left Ventricular Function Changes in Fulminant Versus Nonfulminant Acute Myocarditis.


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