tetano
Editor, Senior Moderator
Echocardiography. 2015 Aug 1. doi: 10.1111/echo.13024. [Epub ahead of print]
[h=1]Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis.[/h] Hawwa N[SUP]1[/SUP], Popovic ZB[SUP]1[/SUP], Isma'eel HA[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] A 42-year-old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis, and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes, and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally, there was some suggestion of a regional pattern to the reduced longitudinal strain.
? 2015, Wiley Periodicals, Inc.
[h=4]KEYWORDS:[/h] influenza; longitudinal strain; myocardial edema
PMID: 26234484 [PubMed - as supplied by publisher]
[h=1]Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis.[/h] Hawwa N[SUP]1[/SUP], Popovic ZB[SUP]1[/SUP], Isma'eel HA[SUP]2[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] A 42-year-old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis, and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes, and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally, there was some suggestion of a regional pattern to the reduced longitudinal strain.
? 2015, Wiley Periodicals, Inc.
[h=4]KEYWORDS:[/h] influenza; longitudinal strain; myocardial edema
PMID: 26234484 [PubMed - as supplied by publisher]