Fernández M A, Alonso Gómez A M, Arós F, Alfageme M, Torres A, Martín Durán R
Servicio de Cardiología, Hospital de Txagorritxu, Vitoria.
Rev Esp Cardiol. 1999 Dec;52(12):1162-4.
We present a case of a 57-year-old man with a giant-cell myocarditis that made its debut as a sustained ventricular polymorphic tachycardia interpreted in the context of old apical myocardium infarct, with a posterior evolution towards refractory heart failure, which finally needed urgent cardiac transplantation. We explain the characteristics of this unusual myocarditis, which has a poor prognosis, and also the results of the laboratory techniques that led to an equivocal diagnosis in this patient.
我们报告一例57岁男性患者,患有巨细胞性心肌炎,最初表现为持续性室性多形性心动过速,结合陈旧性心尖部心肌梗死进行解读,随后病情进展为难治性心力衰竭,最终需要紧急心脏移植。我们阐述了这种预后不良的罕见心肌炎的特征,以及导致该患者诊断不明确的实验室检查结果。