Levosimendan in a case of severe peri-myocarditis associated with influenza A/H1N1 virus

[tetano]

Br J Anaesth. 2012 Dec;109(6):1011-3. doi: 10.1093/bja/aes413.
Levosimendan in a case of severe peri-myocarditis associated with influenza A/H1N1 virus.
Busani S, Pasetto A, Ligabue G, Malavasi V, Lugli R, Girardis M.
Source

Modena, Italy.

PMID:
23154955
[PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/23154955

 

[tetano]

Re: Levosimendan in a case of severe peri-myocarditis associated with influenza A/H1N1 virus

Editor?Pandemic influenza A/H1N1 spread worldwide in 2009?2010, but several new cases have been identified in 2011 in Italy. Respiratory failure requiring mechanical ventilation was the hallmark described during the influenza A/H1N1 pandemic and the patients with myocarditis were rare.1,2 We report the case of a fulminant peri-myocarditis associated with influenza A/H1N1 virus that was successfully managed with levosimendan.

A 54-yr-old female with case history of mild hypothyroidism developed flu with fever, cough, and weakness. Two days later, the fever disappeared but she was brought to the emergency department (ED) of our hospital because of severe constrictive thoracic pain and fainting. At ED admission, the patient was drowsy and hypotensive despite fluid infusion (crystalloids 1.5 litre). Electrocardiography showed sinus tachycardia, low-voltage QRS with inferior and septal ST elevation; cardiac troponin I (Tn) was 1.4 ng ml−1 and ?


http://bja.oxfordjournals.org/content/109/6/1011.extract