模拟心肌梗死并伴有心源性休克的急性爱泼斯坦-巴尔病毒心肌炎

Acute Epstein-Barr virus myocarditis simulating myocardial infarction with cardiogenic shock.

作者信息

Tyson A A, Hackshaw B T, Kutcher M A

机构信息

Department of Internal Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.

出版信息

South Med J. 1989 Sep;82(9):1184-7. doi: 10.1097/00007611-198909000-00033.

DOI:10.1097/00007611-198909000-00033

PMID:2549644

Abstract

We have reported the case of a 38-year-old white woman with substernal chest pain, hypotension, and ECG changes suggesting acute anterior myocardial infarction. Cardiac catheterization revealed no coronary artery pathology, but severe global hypokinesia was noted on left ventriculogram and endomyocardial biopsy revealed myocytic degeneration and mononuclear cell infiltration consistent with acute viral myocarditis. Viral serologies confirmed a recent Epstein-Barr virus infection.

摘要

我们报告了一例38岁白人女性病例，该患者有胸骨后胸痛、低血压及提示急性前壁心肌梗死的心电图改变。心脏导管检查未发现冠状动脉病变，但左心室造影显示严重的全心运动减弱，心内膜心肌活检显示与急性病毒性心肌炎相符的心肌细胞变性和单核细胞浸润。病毒血清学检查证实近期有EB病毒感染。