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Fulminant necrotizing eosinophilic myocarditis after COVID-19 vaccination survived with mechanical circulatory support.
Kimura, Mitsukuni; Hashimoto, Toru; Noda, Eri; Ishikawa, Yusuke; Ishikita, Akihito; Fujino, Takeo; Matsushima, Shouji; Ide, Tomomi; Kinugawa, Shintaro; Nagaoka, Kazuhiro; Ushijima, Tomoki; Shiose, Akira; Tsutsui, Hiroyuki.
Afiliación
  • Kimura M; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Hashimoto T; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Noda E; Department of Advanced Cardiopulmonary Failure, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Ishikawa Y; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Ishikita A; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Fujino T; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Matsushima S; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Ide T; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Kinugawa S; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Nagaoka K; Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Ushijima T; Department of Cardiovascular Medicine, St. Mary's Hospital, Fukuoka, Japan.
  • Shiose A; Department of Cardiovascular Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Tsutsui H; Department of Cardiovascular Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.
ESC Heart Fail ; 9(4): 2732-2737, 2022 08.
Article en En | MEDLINE | ID: mdl-35616026
A 69-year-old man was hospitalized for heart failure 7 days after coronavirus disease 2019 (COVID-19) mRNA vaccination. Electrocardiography showed ST-segment elevation and echocardiography demonstrated severe left ventricular dysfunction. Venoarterial extracorporeal membrane oxygenation and Impella 5.0 were instituted because of cardiogenic shock and ventricular fibrillation. Endomyocardial biopsy demonstrated necrotizing eosinophilic myocarditis (NEM). Severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) PCR test was negative. He had no infection or history of new drug exposure. NEM was likely related to COVID-19 vaccination. He was administered 10 mg/kg of prednisolone following methylprednisolone pulse treatment (1000 mg/day for 3 days). Left ventricular function recovered and he was weaned from mechanical circulatory support (MCS). Follow-up endomyocardial biopsy showed no inflammatory cell infiltration. This is the first report of biopsy-proven NEM after COVID-19 vaccination survived with MCS and immunosuppression therapy. It is a rare condition but early, accurate diagnosis and early aggressive intervention can rescue patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Vacunas contra la COVID-19 / COVID-19 / Miocarditis Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: ESC Heart Fail Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corazón Auxiliar / Vacunas contra la COVID-19 / COVID-19 / Miocarditis Tipo de estudio: Diagnostic_studies / Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: ESC Heart Fail Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido