急性嗜酸性粒细胞性心肌炎对类固醇治疗反应显著：超声心动图在诊断和随访中的核心作用
Acute eosinophilic myocarditis with dramatic response to steroid therapy: the central role of echocardiography in diagnosis and follow-up.
作者信息
Eppenberger Manuela, Hack Dietrich, Ammann Peter, Rickli Hans, Maeder Micha T
机构信息
Cardiology Division, Kantonsspital, CH-9007 St. Gallen, Switzerland.
出版信息
Tex Heart Inst J. 2013;40(3):326-30.
Abstract
Acute eosinophilic myocarditis is a rare cause of acute heart failure. We present the case of a 32-year-old woman who had presumptive eosinophilic myocarditis as part of a generalized hypersensitivity reaction (Drug Rash with Eosinophilia and Systemic Symptoms [DRESS] syndrome) that exhibited a dramatic response to steroid therapy. We highlight the central role of 2-dimensional and tissue-Doppler echocardiography in the diagnosis of myocarditis and the serial evaluation of left ventricular systolic and diastolic function in this setting.
摘要
急性嗜酸性粒细胞性心肌炎是急性心力衰竭的罕见病因。我们报告了一例32岁女性病例，该患者疑似患有嗜酸性粒细胞性心肌炎，这是全身性超敏反应（药物性皮疹伴嗜酸性粒细胞增多和系统症状 [DRESS] 综合征）的一部分，对类固醇治疗表现出显著反应。我们强调二维和组织多普勒超声心动图在心肌炎诊断以及在此情况下对左心室收缩和舒张功能进行系列评估中的核心作用。
相似文献
1
2
3
Correlations of the changes in bioptic findings with echocardiographic, clinical and laboratory parameters in patients with inflammatory cardiomyopathy.炎症性心肌病患者活检结果变化与超声心动图、临床及实验室参数的相关性
Heart Vessels. 2016 Mar;31(3):416-26. doi: 10.1007/s00380-014-0618-0. Epub 2014 Dec 25.
4
Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report.低剂量类固醇治疗急性嗜酸性粒细胞性心肌炎的显著早期反应：一例报告
BMC Cardiovasc Disord. 2017 May 8;17(1):115. doi: 10.1186/s12872-017-0547-9.
5
Eosinophilic heart: marked left ventricular wall thickening and myocardial dysfunction improving with corticosteroid therapy.嗜酸性粒细胞性心脏病：左心室壁显著增厚及心肌功能障碍，皮质类固醇治疗后改善。
Echocardiography. 2003 May;20(4):369-74. doi: 10.1046/j.1540-8175.2003.03043.x.
6
Hypersensitivity myocarditis complicating hypertrophic cardiomyopathy heart.肥厚型心肌病心脏并发的超敏性心肌炎。
Can J Cardiol. 2004 Jul;20(9):911-4.
7
Acute regional myocarditis with normal ventricular wall motion diagnosed by two-dimensional speckle tracking imaging.二维斑点追踪成像诊断的心室壁运动正常的急性局灶性心肌炎
Korean J Intern Med. 2013 Nov;28(6):732-5. doi: 10.3904/kjim.2013.28.6.732. Epub 2013 Oct 29.
8
Treatment of Acute Necrotizing Eosinophilic Myocarditis With Immunosuppression and Mechanical Circulatory Support.免疫抑制和机械循环支持治疗急性坏死性嗜酸性粒细胞性心肌炎
Circ Heart Fail. 2016 Dec;9(12). doi: 10.1161/CIRCHEARTFAILURE.116.003665.
9
Eosinophilia and Ulcerative Colitis Associated with Eosinophilic Myocarditis.嗜酸性粒细胞增多症及溃疡性结肠炎合并嗜酸性粒细胞性心肌炎
Tex Heart Inst J. 2017 Jun 1;44(3):219-222. doi: 10.14503/THIJ-16-5859. eCollection 2017 Jun.
10
Acute eosinophilic myocarditis mimicking myocardial infarction.酷似心肌梗死的急性嗜酸性粒细胞性心肌炎
Tex Heart Inst J. 2009;36(4):355-7.
引用本文的文献
1
Multimodality Imaging in Eosinophilic Myocarditis: A Rare Cause of Heart Failure.嗜酸性粒细胞性心肌炎的多模态成像：心力衰竭的罕见病因
J Cardiovasc Dev Dis. 2025 Aug 21;12(8):320. doi: 10.3390/jcdd12080320.
2
Fulminant Eosinophilic Myocarditis Without Peripheral Eosinophilia.暴发性嗜酸性心肌炎，外周血嗜酸性粒细胞正常。
Tex Heart Inst J. 2023 Mar 1;50(2). doi: 10.14503/THIJ-21-7818.
3
Prolonged Extracorporeal Membrane Oxygenation Support In a Patient with Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome-associated Fulminant Myocarditis - A Case Report and Literature Review.药物反应伴嗜酸性粒细胞增多和全身症状综合征相关暴发性心肌炎患者的长时间体外膜肺氧合支持——病例报告及文献综述
Heart Int. 2020 Dec 11;14(2):112-117. doi: 10.17925/HI.2020.14.2.112. eCollection 2020.
4
"Heart in DRESS": Cardiac Manifestations, Treatment and Outcome of Patients with Drug Reaction with Eosinophilia and Systemic Symptoms Syndrome: A Systematic Review.“药物反应伴嗜酸性粒细胞增多和全身症状综合征中的心脏表现”：药物反应伴嗜酸性粒细胞增多和全身症状综合征患者的心脏表现、治疗及预后：一项系统评价
J Clin Med. 2022 Jan 28;11(3):704. doi: 10.3390/jcm11030704.
5
Myocarditis Associated with Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome: A Case Report and Review of the Literature.药物超敏反应伴嗜酸性粒细胞增多和全身症状（DRESS）综合征相关的心肌炎：一例报告及文献复习
Am J Case Rep. 2018 Aug 20;19:978-984. doi: 10.12659/AJCR.909569.
6
A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy.接受类固醇治疗患者嗜酸性粒细胞性心肌炎诊断中的一个陷阱。
Intern Med. 2017;56(2):157-161. doi: 10.2169/internalmedicine.56.7521. Epub 2017 Jan 15.
本文引用的文献
1
Altered left ventricular tissue velocities, deformation and twist in children and young adults with acute myocarditis and normal ejection fraction.急性心肌炎伴射血分数正常的儿童和青年左心室组织速度、变形和扭转改变。
J Am Soc Echocardiogr. 2012 Mar;25(3):294-303. doi: 10.1016/j.echo.2011.10.010. Epub 2011 Nov 17.
2
A review of DRESS-associated myocarditis.药物反应伴嗜酸性粒细胞增多和系统症状的心肌炎综述。
J Am Acad Dermatol. 2012 Jun;66(6):e229-36. doi: 10.1016/j.jaad.2010.11.057. Epub 2011 Jun 11.
3
Development of diastolic heart failure in a 6-year follow-up study in patients after acute myocarditis.在急性心肌炎患者 6 年随访研究中舒张性心力衰竭的发展。
Heart. 2011 May;97(9):709-14. doi: 10.1136/hrt.2010.199489. Epub 2010 Dec 5.
4
Myocardial deformation in acute myocarditis with normal left ventricular wall motion--a cardiac magnetic resonance and 2-dimensional strain echocardiographic study.急性心肌炎伴正常左心室壁运动的心肌变形：心脏磁共振和二维应变成像研究。
Circ J. 2010 Jun;74(6):1205-13. doi: 10.1253/circj.cj-10-0017. Epub 2010 Apr 27.
5
Infiltrative cardiovascular diseases: cardiomyopathies that look alike.浸润性心血管疾病：表型类似的心肌病。
J Am Coll Cardiol. 2010 Apr 27;55(17):1769-79. doi: 10.1016/j.jacc.2009.12.040.
6
Cardiovascular magnetic resonance in myocarditis: A JACC White Paper.心肌炎的心血管磁共振成像：美国心脏病学会白皮书
J Am Coll Cardiol. 2009 Apr 28;53(17):1475-87. doi: 10.1016/j.jacc.2009.02.007.
7
Heart failure with normal left ventricular ejection fraction.左心室射血分数正常的心力衰竭
J Am Coll Cardiol. 2009 Mar 17;53(11):905-18. doi: 10.1016/j.jacc.2008.12.007.
8
Recommendations for the evaluation of left ventricular diastolic function by echocardiography.超声心动图评估左心室舒张功能的建议。
J Am Soc Echocardiogr. 2009 Feb;22(2):107-33. doi: 10.1016/j.echo.2008.11.023.
9
Case records of the Massachusetts General Hospital. Case 36-2007. A 31-year-old woman with rash, fever, and hypotension.马萨诸塞州总医院病例记录。病例36 - 2007。一名31岁女性，伴有皮疹、发热和低血压。
N Engl J Med. 2007 Nov 22;357(21):2167-78. doi: 10.1056/NEJMcpc079030.
10
Strain Doppler echocardiography can identify longitudinal myocardial dysfunction derived from edema in acute myocarditis.应变多普勒超声心动图可识别急性心肌炎中由水肿引起的纵向心肌功能障碍。
Int J Cardiol. 2008 May 23;126(2):279-80. doi: 10.1016/j.ijcard.2007.01.110. Epub 2007 Apr 26.
Zotero 插件