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January 1, 2004Circulation JournalOpen Access

Risk Factors for Patients Developing a Fulminant Course With Acute Myocarditis

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Population

39 patients with acute lymphocytic myocarditis, excluding 8 who manifested shock at admission.

Design

Cohort

Authors

SKShigeru KatoFukui Red Cross HospitalSMS MorimotoFujita Health UniversitySHShinya HiramitsuNagoya Heart Center

Discussion

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Implication

May flag high-risk acute myocarditis for closer monitoring; hypothesis-generating pending prospective validation.

Structured PICO

P
Population
39 patients with acute lymphocytic myocarditis, excluding 8 who manifested shock at admission.
O
Outcome
Development of a fulminant course (shock after admission requiring intraaortic balloon pumping or percutaneous cardiopulmonary support)hard clinical

Elevated CRP, elevated CK, decreased LVEF, and intraventricular conduction disturbances at admission predict the development of a fulminant course in patients with acute myocarditis.

Cite This Study

Kato et al. (2004) studied this question.

synapsesocial.com/papers/6a708199f44fa9f079de2a8ahttps://doi.org/10.1253/circj.68.734

Topics

Myocarditis
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reversible asymmetric septal hypertrophy in acute myocarditis Serial findings of two-dimensional echocardiogram and thallium-201 scintigram.1985 · 22 citations
  2. 2Acute myocarditis associated with transient marked myocardial thickening and complete atrioventricular block1984 · 26 citations
  3. 3Hemodynamic Spectrum of Myocardial Infarction and Cardiogenic Shock1972 · 214 citations
  4. 4Quantitative assessment of the extent of myocardial infarction in the conscious dog by means of analysis of serial changes in serum creatine phosphokinase activity1971 · 519 citations
  5. 5Transient Ventricular Wall Thickening in Acute Myocarditis. A Serial Echocardiographic and Histopathologic Study.2001 · 99 citations