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  • Title: Right ventricular dominant myocarditis requiring cardiac resynchronization therapy-defibrillator: a case report.
    Author: Sato T, Iwahana T, Ito R, Kondo Y, Kobayashi Y.
    Journal: ESC Heart Fail; 2021 Dec; 8(6):5572-5576. PubMed ID: 34655274.
    Abstract:
    Fulminant myocarditis is an inflammatory disease of the cardiac muscle that severely deteriorates cardiac function and often causes haemodynamic collapse in a manner similar to acute coronary syndrome. In rare cases, the myocardium of the right ventricle is dominantly damaged. In cases of lymphocytic myocarditis, a common type of fulminant myocarditis, cardiac function is often recovered after peak myocardial inflammation subsides; however, some cases show irreversible myocardial damage. Herein, we report the case of a 43-year-old woman with irreversible, right-side dominant ventricular myocardial damage; she presented with various cardiopulmonary conditions including complete atrioventricular block, ventricular tachycardia, right heart failure, right ventricular thrombosis, and pulmonary embolism. The patient was successfully treated with medications and a cardiac resynchronization therapy-defibrillator device.
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