지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
A 54-year-old diabetic man presented to the hospital with shock and bradycardia. His initial estimated left ventricular ejection fraction (LVEF) was 15% and the electrocardiogram showed a junctional escape rhythm with a wide QRS complex and no P wave.
Intensive supportive therapy was initiated after inserting a pacemaker and starting extracorporeal membrane oxygenation. A myocardial biopsy confirmed acute lymphocytic myocarditis with extensive myocyte necrosis, and cardiac transplantation was planned. However, the patient survived without transplantation after vigorous hemodynamic support for 2 weeks. After discharge, he had limited activity for 4 months due to dyspnea caused by a reduced systolic heart function (LVEF, 21%) with a junctional escaped beat. His systolic function recovered markedly 6 months after stopping the hemodynamic support, with the presence of a P wave and narrowed QRS complex.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Acker MA / 2001 / Mechanical circulatory support for patients with acute-fulminant myocarditis / Ann Thorac Surg 71 : S73 ~ S85
Asaumi Y / 2005 / Favourable clinical outcome in patients with cardiogenic shock due to fulminant myocarditis supported by percutaneous extracorporeal membrane oxygenation /
Buccheri G / 1996 / Karnofsky and ECOG performance status scoring in lung cancer: a prospective, longitudinal study of 536 patients from a single institution / Eur J Cancer 3
Cheng R / 2014 / Clinical outcomes in fulminant myocarditis requiring extracorporeal membrane oxygenation: a weighted meta-analysis of 170patients / J Card Fail 20 : 400 ~ 40
Magnani JW / 2006 / Myocarditis: current trends in diagnosis and treatment / Circulation 113 : 876 ~ 890
Asaumi Y / 2005 / Favourable clinical outcome in patients with cardiogenic shock due to fulminant myocarditis supported by percutaneous extracorporeal membrane oxygenation /
Buccheri G / 1996 / Karnofsky and ECOG performance status scoring in lung cancer: a prospective, longitudinal study of 536 patients from a single institution / Eur J Cancer 3
Cheng R / 2014 / Clinical outcomes in fulminant myocarditis requiring extracorporeal membrane oxygenation: a weighted meta-analysis of 170patients / J Card Fail 20 : 400 ~ 40
Magnani JW / 2006 / Myocarditis: current trends in diagnosis and treatment / Circulation 113 : 876 ~ 890
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