Clinical case of acute myocarditis with outcome in dilated cardiomyopathy
- 作者: Kuchmin A.N.1, Rudakova M.V.1, Tanich A.V.1, Galaktionov D.A.1, Shikhmurzaeva E.R.1
-
隶属关系:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- 期: 卷 345, 编号 11 (2024)
- 页面: 31-39
- 栏目: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/641829
- DOI: https://doi.org/10.52424/00269050_2024_345_11_31
- ID: 641829
如何引用文章
详细
A clinical case of acute myocarditis in a 55-year-old military man with an outcome of dilated cardiomyopathy is presented. During the examination, magnetic resonance imaging with a paramagnetic contrast agent was performed – the main instrumental diagnostic method, which is the most informative for visualizing foci of inflammation, damage and necrosis of cardiomyocytes. Intravital diagnosis of myocarditis was carried out through histological confirmation of the diagnosis by performing endomyocardial biopsy. During the examination, coronary heart disease and amyloid cardiomyopathy were excluded. The patient was selected for anti-inflammatory, antiarrhythmic therapy, and was prescribed treatment for heart failure with low ejection fraction (quadruple therapy, including an angiotensin receptor and neprilysin inhibitor, beta blocker, mineralocorticoid antagonist, sodium-glucose co-transporter type 2 inhibitor). The patient experienced significant positive changes, such as improved tolerance to physical activity, reduction in lower extremity edema, and decreased shortness of breath during walking.
全文:

作者简介
A. Kuchmin
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: vmeda-na@mil.ru
профессор, полковник медицинской службы запаса
俄罗斯联邦, St. PetersburgM. Rudakova
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
俄罗斯联邦, St. Petersburg
A. Tanich
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
俄罗斯联邦, St. Petersburg
D. Galaktionov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
кандидат медицинских наук, подполковник медицинской службы
俄罗斯联邦, St. PetersburgE. Shikhmurzaeva
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: vmeda-na@mil.ru
俄罗斯联邦, St. Petersburg
参考
- Арутюнов Г.П., Палеев Ф.Н., Моисеева О.М. и др. Миокардиты у взрослых. Клинические рекомендации 2020 // Рос. кард. журн. – 2021. – Т. 26, № 11. – С.136–182.
- Кучмин А.Н., Галова Е.П., Галактионов Д.А. и др. Оценка продольной сократимости миокарда левого желудочка у здоровых лиц // Вестн. Рос. воен.- мед. акад. – 2018. – № 1 (61). – С. 117–120.
- Резван В.В., Кучмин А.Н., Катаева Ю.С. Внезапная сердечная смерть у военнослужащих, проходящих службу по контракту // Клин. мед. – 2009. – № 8. – С. 16–21.
- Сивакова Л.В., Зыкова В.В., Гуляева И.Л. Роль вирусной инфекции в патогенезе миокардита // E. J. Nat. H. – 2023. – № 1. – С. 68–71.
- Темникова Е.А.; Кондратьев А.И., Темников М.В. Диагностика миокардита – казус для врача // Леч. врач. – 2019. – № 2. – С. 30–34.
- Шкаева О.В., Кочарова К.Г., Дупляков Д.В. и др. Дилатационная кардиомиопатия у пациента 34 лет после перенесенного миокардита // Кардиология. – 2019. – Т. 7, № 1. – С. 60–63.
- Caforio A.L., Calabrese F., Angelini A. et al. A prospective study of biopsy-proven myocarditis: prognostic relevance of clinical and aetiopathogenetic features at diagnosis // Eur. Heart J. –2007 – Vol. 28, N 11. – P. 1326–1333.
- Engler R.J., Nelson M.R., Collins L.C. Jr. et al. A prospective study of the incidence of myocarditis/pericarditis and new onset cardiac symptoms following smallpox and influenza vaccination // PLoS One. – 2015. – Vol. 10, N 3. – е0118283.
- Lampejo T., Durkin S.M., Bhatt N. et al. Acute myocarditis: aetiology, diagnosis and management // Clin. Med. – 2021. – N 21. – P. 505–510.
- Leone O., Veinot J.P., Angelini A. et al. 2011 consensus statement on endomyocardial biopsy from the Association for European Cardiovascular Pathology and the Society for Cardiovascular Pathology // Cardiovasc. Pathol. – 2012. – Vol. 21, N 4. – P. 245–274.
- Mason J.W. Myocarditis and dilated cardiomyopathy: an inflammatory link. // Cardiovasc. Res. – 2003. – Vol. 60, N 1. – P. 5–10.
- Mentz R.J., Garg J., Rockhold F.W. et al. Ferric Carboxymaltose in heart failure with iron deficiency // N. Engl. J. Med. – 2023. – Vol. 389, N 11. – P. 975–986.
补充文件
