A woman aged middle thirties presented with common cold-like symptoms, and was hospitalized due to hypotension and tachycardia. Echocardiography revealed pericardial effusion and preserved left ventricular fractional shortening (28%). Cardiac index, pulmonary capillary wedge and right atrial pressure were 1.81/min/m2, 15 and 13mmHg, respectively. After drainage of pericardial effusion, cardiac index increased to 3.41/min/m2. On the fifth hospital day, left ventricular dysfunction developed (fractional shortening: 16%, cardiac index: 1.51/min/m2, pulmonary capillary wedge pressure: 18 mmHg, right atrial pressure: 12mmHg), so percutaneous cardiopulmonary support was introduced. However, the heart failed in asystole and the cavity was occupied by massive thrombus, probably related to heparin-induced thrombocytopenia. This case of fulminant myocarditis passed through various clinical features of heart failure. She died on the 12th hospital day.
|Number of pages||7|
|Journal||Journal of Cardiology|
|Publication status||Published - 2005 Jul|
- Cardiac tamponade
- Heart failure
- Myocarditis (fulminant)
- Thrombosis (heparin-induced thrombocytopenia)