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Cardiogenic Shock due to Left Ventricular Outflow Obstruction and Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy with Acute Myocarditis


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Title: Cardiogenic Shock due to Left Ventricular Outflow Obstruction and Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy with Acute Myocarditis
Authors: Kusumoto, Saburo / Kawano, Hiroaki / Takeno, Masayoshi / Yonekura, Tsuyoshi / Koide, Yuji / Abe, Kuniko / Doi, Yoshinori / Fukae, Satoki / Komiya, Norihiro / Maemura, Koji
Issue Date: 15-Sep-2012
Publisher: 日本内科学会 / Japanese Society of Internal Medicine
Citation: Internal Medicine, 51(18), pp.2565-2571; 2012
Abstract: A 67-year-old woman was referred to our hospital with a sudden syncopal attack. She suffered from cardiogenic shock due to left ventricular (LV) outflow stenosis with simultaneous complete atrioventricular (AV) block. An endomyocardial biopsy of the left ventricle demonstrated myocardial disarray and myocardial fibrous and edematous tissue with infiltration of mononuclear cells. Cardiac magnetic resonance imaging (cMRI) detected a damaged septal area that was likely associated with the conduction disturbance. The diagnosis was hypertrophic cardiomyopathy accompanied by acute myocarditis. Although the LV outflow stenosis was transient, the complete AV block was persistent, thus requiring permanent pacemaker implantation.
Keywords: Acute myocarditis / Cardiogenic shock / Complete atrioventricular block / Hypertrophic cardiomyopathy / Mri
URI: http://hdl.handle.net/10069/30988
ISSN: 09182918
DOI: 10.2169/internalmedicine.51.8285
Rights: © 2012 The Japanese Society of Internal Medicine.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/30988

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