UNEXPECTED SUDDEN DEATH IN A YOUNG MAN WITH MYOPERICARDITIS- A CASE REPORT
Abstract
A 31 years man was referred by general practitioner (GP) with chest pain preceded by sore throat a week ago. Electrocardiogram was suggestive of pericarditis and Troponin and inflammatory markers were elevated. Echocardiogram showed small pericardial effusion with normal biventricular size and function, and no regional wall motion abnormalities (RWMA). A clinical diagnosis of myopericarditis was made. Patient was in good clinical condition so he self-discharged before cardiac MRI. Two days later he died of cardiac arrest. His post mortem confirmed the diagnosis of myopericarditis. He died despite of absence of known poor prognostic features of Myopericarditis.Keywords: Myocarditis, Sudden Death, Post MortemReferences
Mann DL, Zipes DP, Libby P, Bonow RO Eds. Braunwald’s Heart Disease, A textbook of cardiovascular medicine. Tenth Edition. Philadelphia: Elsevier Ltd; 2015.
Schultheisis HP, Kuhl U, Cooper LT: The management of myocarditis. Eur Heart J. 2011;32:2616–25.
Chandra N, Bastiaenen R, Papadakis M, Sharma S. Sudden cardiac death in young athletes: practical challenges and diagnostic dilemmas. J Am Coll Cardiol. 2013;61:1027–40.
Sagar S, Liu PP, Cooper LT Jr: Myocarditis. Lancet 2012;379:738–47
Ukena C, Mahfoud F, Kindermann I, Kandolf R, Kindermann M, Böhm M. Prognostic electrocardiographic parameters in patients with suspected myocarditis. Eur J Heart Fail. 2011;13:398–405.
Teele SA1, Allan CK, Laussen PC, Newburger JW, Gauvreau K, Thiagarajan RR. Management and outcomes in pediatric patients presenting with acute fulminant myocarditis. J pediatr. 2011;158:638–43.
Grün S, Schumm J, Greulich S, Wagner A, Schneider S, Bruder O, et al. Long-term follow up of biopsy-proven viral myocarditis: predictors of mortality and incomplete recovery. J Am Coll Cardiol 2012;59:1604–15.
Friedman RA1, Kearney DL, Moak JP, Fenrich AL, Perry JC. persistence of ventricular arrhythmia after resolution of occult myocarditis in children and young adults. J Am Coll Cardiol 1994;24(3):780–3
Vignola PA, Aonuma K, Swaye PS, Rozanski JJ, Blankstein RL, Benson J, et al Lymphocytic myocarditis presenting as unexplained ventricular arrhythmia: diagnosis with endomyocardial biopsy and response to immunosuppression. J Am Coll Cardiol 1984;4(4):812–9
Downloads
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
