Incessant ventricular tachycardia and cardiogenic shock: a common presentation of an uncommon diagnosis

Giant cell myocarditis is a rare and highly lethal disease that is characterized by a rapidly progressive course of biventricular dysfunction. The authors present a case of giant cell myocarditis that presented with incessant ventricular tachycardia and cardiogenic shock in which clinical improvemen...

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Bibliographic Details
Published inThe American journal of the medical sciences Vol. 342; no. 6; p. 527
Main Authors Drafts, Brandon C, Sutton, Brian J, Dubose, Jr, Thomas D, Thohan, Vinay
Format Journal Article
LanguageEnglish
Published United States 01.12.2011
Subjects
Adult
Amiodarone - therapeutic use
Anti-Arrhythmia Agents - therapeutic use
Biopsy
Blood Chemical Analysis
Cardiac Catheterization
Coronary Angiography
Cyclosporine - therapeutic use
Diagnosis, Differential
Electrocardiography
Giant Cells - pathology
Heart - diagnostic imaging
Heart - physiopathology
Heart Ventricles - diagnostic imaging
Heart Ventricles - pathology
Humans
Immunosuppressive Agents - therapeutic use
Magnetic Resonance Imaging
Male
Myocarditis - diagnosis
Myocarditis - drug therapy
Myocarditis - physiopathology
Myocardium - pathology
North Carolina
Prednisone - therapeutic use
Shock, Cardiogenic - diagnostic imaging
Shock, Cardiogenic - drug therapy
Shock, Cardiogenic - physiopathology
Tachycardia, Ventricular - diagnostic imaging
Tachycardia, Ventricular - drug therapy
Tachycardia, Ventricular - pathology
Tachycardia, Ventricular - physiopathology
Treatment Outcome
Ventricular Dysfunction, Left - physiopathology
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Summary:Giant cell myocarditis is a rare and highly lethal disease that is characterized by a rapidly progressive course of biventricular dysfunction. The authors present a case of giant cell myocarditis that presented with incessant ventricular tachycardia and cardiogenic shock in which clinical improvement was achieved with immunosuppressive therapy.
ISSN:1538-2990
DOI:10.1097/MAJ.0b013e31822a6bdd