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Japanese

Treatmen for fulminant myocarditis Takayuki INOMATA 1 1Department of Cardiovascular Medicine Kitasato Institute Hospital pp.28-33
Published Date 2021/1/1
DOI https://doi.org/10.11477/mf.3102200830
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Fulminant myocarditis is defined as acute myocarditis, with partial hemodynamic collapse, leading to a fatal outcome. Most cases are believed to be derived from acute viral infections and have preceding flu-like symptoms with fever. The patients, who manifest cardiac signs due to heart failure or arrhythmias, are initially suspected to have this condition based on abnormal electrocardiography and elevated serum myocardial troponin levels. The definitive diagnosis is made by histopathological evaluation of an endomyocardial biopsy, but cardiac magnetic resonance has recently become increasingly important because of its non-invasiveness. A method for predicting fulminant illness has not been established, and there is no choice but to follow the clinical course closely. There is no reliable causal treatment for myocarditis in general, so the principal management strategy is to accurately support the hemodynamic condition including hemodynamic collapse until spontaneous recovery from inflammation.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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