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October 23, 2020ESC Heart FailureOpen Access

Myocarditis and Intramural Coronary Vasculitis in Polyarteritis Nodosa: An Unusual Treatable form of Heart Failure

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Key result

Immunosuppressive treatment with cyclophosphamide and prednisolone led to significant improvement of cardiac function in a 68-year-old woman with polyarteritis nodosa-induced heart failure.

Why the study?

Does immunosuppressive treatment improve cardiac function in a patient with heart failure due to polyarteritis nodosa-associated myocarditis?

Population

A 68-year-old woman with congestive heart failure and polyarteritis nodosa

Design

Case report

Authors

CCCristina ChimentiHeart Failure & TransplantMAMaria AlfaranoHeart Failure / CardiomyopathyFTFederica TotoPoliclinico Casilino

Discussion

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Implication

Rare biopsy-proven myocarditis with vasculitis in PAN; leaves open prevalence and TLR-4 role in systemic disease.

Study Design

Type

Case Report (n=1)

Structured PICO

Does immunosuppressive treatment improve cardiac function in a patient with heart failure due to polyarteritis nodosa-associated myocarditis?

P
Population
A 68-year-old woman presenting with congestive heart failure due to polyarteritis nodosa.
E
Exposure
Immunosuppressive treatment consisting of cyclophosphamide and prednisolone.
O
Outcome
Improvement of cardiac function.surrogate

Polyarteritis nodosa can present as unexplained heart failure due to myocarditis and intramural vasculitis, which is treatable with tailored immunosuppressive therapy.

Cite This Study

Chimenti et al. (2020) conducted a case report in Polyarteritis nodosa with congestive heart failure (n=1). Immunosuppressive treatment (cyclophosphamide and prednisolone) was evaluated on Improvement of cardiac function. Immunosuppressive treatment with cyclophosphamide and prednisolone led to significant improvement of cardiac function in a 68-year-old woman with polyarteritis nodosa-induced heart failure.

synapsesocial.com/papers/6a74b3ce0081fe7b05dbe477https://doi.org/10.1002/ehf2.13012
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