PMID: 11316137Apr 24, 2001Paper

Recurrence of myocarditis presenting as pacing and sensing failure after implantation of a permanent pacemaker at first onset

Japanese Circulation Journal
M ArimaS Matsuda

Abstract

A 31-year-old woman was admitted to hospital with loss of consciousness and generalized convulsions. Electrocardiography (ECG) showed complete atrioventricular block (AV block) with a pulse rate of 30 beats/min. Endomyocardial biopsy from the right ventricle showed massive necrosis and degeneration of myocardial cells with extensive infiltration of lymphocytes into the interstitial space. These pathological findings suggested fulminant myocarditis. Following glucocorticoid therapy, the patient became asymptomatic, but the AV block did not resolve completely and a bifocal pacemaker was implanted. However, similar symptoms recurred 7 years later. An ECG showed pacing and sensing failure linked to an increase in the pacing threshold and a decrease in the sensing threshold. Endomyocardial biopsy from the right ventricle again showed interstitial infiltration with lymphocytes and eosinophils. After glucocorticoid therapy, she became asymptomatic once more, and the improvement in the pacing and sensing failure, and cardiomegaly, was satisfactory. This patient represents a very rare case of recurrence of acute myocarditis without progression, as much as 7 years after its first occurrence. Glucocorticoid therapy was still effective in ...Continue Reading

References

Aug 1, 1990·American Heart Journal·J G RogersA R Easley
Apr 1, 1973·The American Journal of Medicine·H D Rose
May 15, 1984·The American Journal of Cardiology·C H KimG J Gleich
Sep 1, 1981·British Heart Journal·M AritaY Masuyama
Jan 1, 1959·British Heart Journal·T TLUSTY

❮ Previous
Next ❯

Citations

Dec 4, 2014·European Journal of Internal Medicine·Ville KytöPäivi Rautava
Mar 8, 2013·Heart, Lung & Circulation·Bo XuDavid L Prior
May 16, 2006·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Chiharu KishimotoNobuyoshi Tomioka
Jul 9, 2005·Journal of Electrocardiology·Minoru OhmaeNobuyoshi Tomioka
Aug 27, 2004·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Hiromi KanazawaYoshiharu Ohaki
Apr 22, 2004·Internal Medicine·Nobuyuki MitsuyaJyunki Koike
Jun 21, 2021·The Canadian Journal of Cardiology·Hirmand NouraeiZachary Laksman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.