JACC. Case reports · 2025
Fulminant Myocarditis With Normal Inflammatory Markers.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Nirthanakumaran Deva, Pathan Shahab, Parikh Devang, Pathan Faraz
Аннотация
BACKGROUND: Fulminant myocarditis is a rare, rapidly progressive and life-threatening condition requiring early diagnosis and management.
CASE SUMMARY: We present the case of a 31-year-old man who presented with sudden onset chest pain; though his initial echocardiography was largely unremarkable, and angiography ruled out acute coronary syndrome, the patient developed worsening pain with rising high-sensitivity troponin markers. Cardiac magnetic resonance imaging revealed widespread transmural late gadolinium enhancement throughout the left ventricle, which prompted urgent transfer to a quaternary center before the patient's acute deterioration. The patient deteriorated from symptom onset to overt cardiogenic shock requiring intubation, mechanical circulatory support, and high-dose immunosuppression within 25 hours.
DISCUSSION: This case underscores the importance of multimodality imaging for rapid decision-making in diagnosing myocarditis, particularly when clinical suspicion is high despite initial nonspecific biochemical tests and echocardiography.
CASE SUMMARY: We present the case of a 31-year-old man who presented with sudden onset chest pain; though his initial echocardiography was largely unremarkable, and angiography ruled out acute coronary syndrome, the patient developed worsening pain with rising high-sensitivity troponin markers. Cardiac magnetic resonance imaging revealed widespread transmural late gadolinium enhancement throughout the left ventricle, which prompted urgent transfer to a quaternary center before the patient's acute deterioration. The patient deteriorated from symptom onset to overt cardiogenic shock requiring intubation, mechanical circulatory support, and high-dose immunosuppression within 25 hours.
DISCUSSION: This case underscores the importance of multimodality imaging for rapid decision-making in diagnosing myocarditis, particularly when clinical suspicion is high despite initial nonspecific biochemical tests and echocardiography.