Giant cell myocarditis in an older patient - reassessing the threshold for endomyocardial biopsy
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
32644298
PubMed Central
PMC7524070
DOI
10.1002/ehf2.12756
Knihovny.cz E-zdroje
- Klíčová slova
- Endomyocardial biopsy, Giant cell myocarditis, Heart failure, Immunosuppressive treatment, Inflammatory heart disease,
- MeSH
- biopsie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- myokard MeSH
- myokarditida * diagnóza MeSH
- obrovské buňky MeSH
- senioři MeSH
- srdeční selhání * diagnóza MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Giant cell myocarditis is a rare form of autoimmune myocarditis with high morbidity and mortality that affects mainly middle-aged adults. We report a case study of a 70-year-old man on chronic immunosuppression who presented with sustained ventricular tachycardia and symptoms of acute systolic heart failure, both with poor response to standard measures. A decision to pursue endomyocardial biopsy established the diagnosis of GCM and lead to initiation of immunosuppressive therapy and a favourable outcome. Our case illustrates that a low threshold for endomyocardial biopsy in new onset heart failure can lead to actionable information even in patients of advanced age.
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