通过双单光子发射计算机断层扫描成功治疗一名老年嗜酸性粒细胞增多症伴多血管炎引起的急性嗜酸性心肌炎。

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
International heart journal Pub Date : 2024-11-30 Epub Date: 2024-11-14 DOI:10.1536/ihj.24-384
Tomohito Inage, Toshio Katagiri, Masataka Kajiwara, Takashi Fujimura, Tadashi Yamamoto, Minh T Nguyen, Yukari Takase, Yoshitaka Hirooka
{"title":"通过双单光子发射计算机断层扫描成功治疗一名老年嗜酸性粒细胞增多症伴多血管炎引起的急性嗜酸性心肌炎。","authors":"Tomohito Inage, Toshio Katagiri, Masataka Kajiwara, Takashi Fujimura, Tadashi Yamamoto, Minh T Nguyen, Yukari Takase, Yoshitaka Hirooka","doi":"10.1536/ihj.24-384","DOIUrl":null,"url":null,"abstract":"<p><p>An 83-year-old man with a 5-month history of asthma presented to the emergency department with chest oppression and dyspnea. Electrocardiography showed ST-segment depression. Transthoracic echocardiography showed no asynergy with an ejection fraction of 62%. Coronary angiography revealed no stenosis. On day 3, he developed worsening dyspnea, cough, and rapidly progressive acute decompensated heart failure with abdominal purpura and lower extremity petechiae.Myocardial and skin biopsies revealed eosinophilic infiltration. He was diagnosed with acute eosinophilic myocarditis and heart failure due to eosinophilic granulomatosis with polyangiitis. Methylprednisolone pulse therapy dramatically improved his symptoms and congestion. Dual single-photon emission computed tomography after 1 year demonstrated lesion improvement.</p>","PeriodicalId":13711,"journal":{"name":"International heart journal","volume":" ","pages":"1177-1181"},"PeriodicalIF":1.2000,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful Treatment of Acute Eosinophilic Myocarditis due to Eosinophilic Granulomatosis with Polyangiitis in an Older Man, Followed by Dual Single Photon Emission Computed Tomography.\",\"authors\":\"Tomohito Inage, Toshio Katagiri, Masataka Kajiwara, Takashi Fujimura, Tadashi Yamamoto, Minh T Nguyen, Yukari Takase, Yoshitaka Hirooka\",\"doi\":\"10.1536/ihj.24-384\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>An 83-year-old man with a 5-month history of asthma presented to the emergency department with chest oppression and dyspnea. Electrocardiography showed ST-segment depression. Transthoracic echocardiography showed no asynergy with an ejection fraction of 62%. Coronary angiography revealed no stenosis. On day 3, he developed worsening dyspnea, cough, and rapidly progressive acute decompensated heart failure with abdominal purpura and lower extremity petechiae.Myocardial and skin biopsies revealed eosinophilic infiltration. He was diagnosed with acute eosinophilic myocarditis and heart failure due to eosinophilic granulomatosis with polyangiitis. Methylprednisolone pulse therapy dramatically improved his symptoms and congestion. Dual single-photon emission computed tomography after 1 year demonstrated lesion improvement.</p>\",\"PeriodicalId\":13711,\"journal\":{\"name\":\"International heart journal\",\"volume\":\" \",\"pages\":\"1177-1181\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-11-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International heart journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1536/ihj.24-384\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/14 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International heart journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1536/ihj.24-384","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/14 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0

摘要

一名 83 岁的男子因胸部压迫感和呼吸困难到急诊科就诊,他有 5 个月的哮喘病史。心电图显示 ST 段压低。经胸超声心动图显示没有异能,射血分数为 62%。冠状动脉造影显示没有狭窄。第 3 天,他出现呼吸困难、咳嗽和快速进展的急性失代偿性心力衰竭,并伴有腹部紫癜和下肢瘀斑。他被诊断为嗜酸粒细胞性肉芽肿伴多血管炎引起的急性嗜酸性心肌炎和心力衰竭。甲基强的松龙脉冲疗法极大地改善了他的症状和充血。一年后,双单光子发射计算机断层扫描显示病变有所改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful Treatment of Acute Eosinophilic Myocarditis due to Eosinophilic Granulomatosis with Polyangiitis in an Older Man, Followed by Dual Single Photon Emission Computed Tomography.

An 83-year-old man with a 5-month history of asthma presented to the emergency department with chest oppression and dyspnea. Electrocardiography showed ST-segment depression. Transthoracic echocardiography showed no asynergy with an ejection fraction of 62%. Coronary angiography revealed no stenosis. On day 3, he developed worsening dyspnea, cough, and rapidly progressive acute decompensated heart failure with abdominal purpura and lower extremity petechiae.Myocardial and skin biopsies revealed eosinophilic infiltration. He was diagnosed with acute eosinophilic myocarditis and heart failure due to eosinophilic granulomatosis with polyangiitis. Methylprednisolone pulse therapy dramatically improved his symptoms and congestion. Dual single-photon emission computed tomography after 1 year demonstrated lesion improvement.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
International heart journal
International heart journal 医学-心血管系统
CiteScore
2.50
自引率
6.70%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信