Coronary artery disease obscuring giant cell myocarditis--a case report

O. H. Kwok, E. M. Chau, W. H. Chow, Entong Wang

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    A case in which the diagnosis of idiopathic giant cell myocarditis was obscured by the presence of severe coronary artery disease is described, A 47-year-old man presented with recur-rent inferior myocardial infarction and complete heart block. Cardiac catheterization confirmed severe 2-vessel disease and left ventricular dysfunction, Incessant ventricular arrhythmia rapidly ensued, which did not respond to anti-arrhythmic therapy and overdrive pacing despite complete surgical revascularization. He eventually died, Autopsy revealed giant cell myocarditis superimposed on coronary artery disease. Acute myocarditis masquerading as myocardial infarction has been well known, but virtually all reported cases had normal coronary arteries. This case illustrated the fact that even in the presence of obvious coronary artery disease the remote possibility of myocarditis should not be entirely disregarded. Although giant cell myocarditis is a rare and frequently fatal disorder, recent studies suggest that combined immunosuppressive therapy may improve the prognosis.

    Original languageEnglish
    Pages (from-to)599-603
    Number of pages4
    JournalAngiology
    Volume53
    Issue number5
    Publication statusPublished - 2002

    Keywords

    • RECURRENCE

    Cite this

    Kwok, O. H., Chau, E. M., Chow, W. H., & Wang, E. (2002). Coronary artery disease obscuring giant cell myocarditis--a case report. Angiology, 53(5), 599-603.

    Coronary artery disease obscuring giant cell myocarditis--a case report. / Kwok, O. H.; Chau, E. M.; Chow, W. H.; Wang, Entong.

    In: Angiology, Vol. 53, No. 5, 2002, p. 599-603.

    Research output: Contribution to journalArticle

    Kwok, OH, Chau, EM, Chow, WH & Wang, E 2002, 'Coronary artery disease obscuring giant cell myocarditis--a case report', Angiology, vol. 53, no. 5, pp. 599-603.
    Kwok OH, Chau EM, Chow WH, Wang E. Coronary artery disease obscuring giant cell myocarditis--a case report. Angiology. 2002;53(5):599-603.
    Kwok, O. H. ; Chau, E. M. ; Chow, W. H. ; Wang, Entong. / Coronary artery disease obscuring giant cell myocarditis--a case report. In: Angiology. 2002 ; Vol. 53, No. 5. pp. 599-603.
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    AB - A case in which the diagnosis of idiopathic giant cell myocarditis was obscured by the presence of severe coronary artery disease is described, A 47-year-old man presented with recur-rent inferior myocardial infarction and complete heart block. Cardiac catheterization confirmed severe 2-vessel disease and left ventricular dysfunction, Incessant ventricular arrhythmia rapidly ensued, which did not respond to anti-arrhythmic therapy and overdrive pacing despite complete surgical revascularization. He eventually died, Autopsy revealed giant cell myocarditis superimposed on coronary artery disease. Acute myocarditis masquerading as myocardial infarction has been well known, but virtually all reported cases had normal coronary arteries. This case illustrated the fact that even in the presence of obvious coronary artery disease the remote possibility of myocarditis should not be entirely disregarded. Although giant cell myocarditis is a rare and frequently fatal disorder, recent studies suggest that combined immunosuppressive therapy may improve the prognosis.

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