September 21, 2022European Heart Journal

Inflammatory infiltration of the cardiac conduction system in acute lymphocytic myocarditis

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Population

A 53-year-old man with suspected acute myocarditis

Design

Case report

Authors

JCJuan Caro‐CodónHospital Universitario La Paz SMSamuel López MuñozHospital Universitario Rey Juan Carlos ESEsteban López de SáCentro Universitário Curitiba

Discussion

Member takes

Implication

New conduction abnormalities may signal myocarditis in transplant survivors; hypothesis-generating and leaves screening protocols open.

Structured PICO

Population

A 53-year-old man with a prior history of bone marrow transplant after acute myeloblastic leukaemia, admitted with suspected acute myocarditis.

Intervention

High-dose pulses of methylprednisolone, temporary transvenous pacing, and mechanical circulatory support with VA-ECMO.

Outcome

Clinical course and histopathological findings.

This case demonstrates that acute lymphocytic myocarditis can directly infiltrate the cardiac conduction system, leading to rapid progression of complete AV block and fatal cardiogenic shock.

Cite This Study

Caro‐Codón et al. (2022) studied this question.

synapsesocial.com/papers/6a6f8ecbfebe604dd70873a9 https://doi.org/10.1093/eurheartj/ehac507

Topics

Myocarditis

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Inflammatory infiltration of the cardiac conduction system in acute lymphocytic myocarditis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

Inflammatory infiltration of the cardiac conduction system in acute lymphocytic myocarditis

Discussion

Member takes

Implication

Structured PICO

Cite This Study

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Topics

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