UNEXPECTED SUDDEN DEATH IN A YOUNG MAN WITH MYOPERICARDITIS- A CASE REPORT
AbstractA 31 years man was referred by general practitioner (GP) with chest pain preceded by sore throat a week ago. Electrocardiogram was suggestive of pericarditis and Troponin and inflammatory markers were elevated. Echocardiogram showed small pericardial effusion with normal biventricular size and function, and no regional wall motion abnormalities (RWMA). A clinical diagnosis of myopericarditis was made. Patient was in good clinical condition so he self-discharged before cardiac MRI. Two days later he died of cardiac arrest. His post mortem confirmed the diagnosis of myopericarditis. He died despite of absence of known poor prognostic features of Myopericarditis.Keywords: Myocarditis, Sudden Death, Post Mortem
Mann DL, Zipes DP, Libby P, Bonow RO Eds. Braunwald’s Heart Disease, A textbook of cardiovascular medicine. Tenth Edition. Philadelphia: Elsevier Ltd; 2015.
Schultheisis HP, Kuhl U, Cooper LT: The management of myocarditis. Eur Heart J. 2011;32:2616–25.
Chandra N, Bastiaenen R, Papadakis M, Sharma S. Sudden cardiac death in young athletes: practical challenges and diagnostic dilemmas. J Am Coll Cardiol. 2013;61:1027–40.
Sagar S, Liu PP, Cooper LT Jr: Myocarditis. Lancet 2012;379:738–47
Ukena C, Mahfoud F, Kindermann I, Kandolf R, Kindermann M, Böhm M. Prognostic electrocardiographic parameters in patients with suspected myocarditis. Eur J Heart Fail. 2011;13:398–405.
Teele SA1, Allan CK, Laussen PC, Newburger JW, Gauvreau K, Thiagarajan RR. Management and outcomes in pediatric patients presenting with acute fulminant myocarditis. J pediatr. 2011;158:638–43.
Grün S, Schumm J, Greulich S, Wagner A, Schneider S, Bruder O, et al. Long-term follow up of biopsy-proven viral myocarditis: predictors of mortality and incomplete recovery. J Am Coll Cardiol 2012;59:1604–15.
Friedman RA1, Kearney DL, Moak JP, Fenrich AL, Perry JC. persistence of ventricular arrhythmia after resolution of occult myocarditis in children and young adults. J Am Coll Cardiol 1994;24(3):780–3
Vignola PA, Aonuma K, Swaye PS, Rozanski JJ, Blankstein RL, Benson J, et al Lymphocytic myocarditis presenting as unexplained ventricular arrhythmia: diagnosis with endomyocardial biopsy and response to immunosuppression. J Am Coll Cardiol 1984;4(4):812–9