Time course of eosinophilic myocarditis visualized by CMR

Debl, Kurt and Djavidani, Behrus and Buchner, Stefan and Poschenrieder, Florian and Heinicke, Norbert and Feuerbach, Stefan and Riegger, Guenter and Luchner, Andreas (2008) Time course of eosinophilic myocarditis visualized by CMR. JOURNAL OF CARDIOVASCULAR MAGNETIC RESONANCE, 10: 21. ISSN 1097-6647,

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Abstract

We report the diagnostic potential of cardiovascular magnetic resonance (CMR) to visualize the time course of eosinophilic myocarditis upon successful treatment. A 50-year-old man was admitted with a progressive heart failure. Endomyocardial biopsies were taken from the left ventricle because of a white blood cell count of 17000/mm(3) with 41% eosinophils. Histological evaluation revealed endomyocardial eosinophilic infiltration and areas of myocyte necrosis. The patient was diagnosed with hypereosinophilic myocarditis due to idiopathic hypereosinophilic syndrome. CMR-studies at presentation and a follow-up study 3 weeks later showed diffuse subendocardial LGE in the whole left ventricle. Upon treatment with steroids, CMR-studies revealed marked reduction of subendocardial LGE after 3 months in parallel with further clinical improvement. This case therefore highlights the clinical importance of CMR to visualize the extent of endomyocardial involvement in the diagnosis and treatment of eosinophilic myocarditis.

Item Type: Article
Uncontrolled Keywords: ;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 03 Nov 2020 06:29
Last Modified: 03 Nov 2020 06:29
URI: https://pred.uni-regensburg.de/id/eprint/30907

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