A case of fatal fulminant myocarditis presenting as an acute ST-segment elevation myocardial infarction and persistent ventricular tachyarrhythmia associated with influenza A (H1N1) virus in a previously healthy pregnant woman
| Autor: | Zubin Tharayil, Mel A. Ona, Iffath Hoskins, Shakeel Usmani, Michael Timoney, Aglae Charlot, Daniel R. Bashari, Roman Royzman |
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| Rok vydání: | 2012 |
| Předmět: |
Tachycardia
Adult medicine.medical_specialty Myocarditis Fulminant Pregnancy Complications Cardiovascular Myocardial Infarction Autopsy Electrocardiography Fatal Outcome Influenza A Virus H1N1 Subtype Pregnancy Internal medicine Influenza Human medicine Humans Pharmacology (medical) Myocardial infarction Pregnancy Complications Infectious business.industry virus diseases medicine.disease Pulmonary embolism Cardiology Tachycardia Ventricular Female medicine.symptom Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Cardiology. 123(2) |
| ISSN: | 1421-9751 |
| Popis: | Several studies have reported influenza A (H1N1) virus as a cause of fulminant myocarditis. We report the first fatal case of fulminant myocarditis presenting as an acute ST-segment elevation myocardial infarction and ventricular tachyarrhythmia associated with influenza A (H1N1) in a previously healthy pregnant woman. A 38-year-old Asian woman, gravida 3, para 1-0-1-1, presented with flu-like symptoms. Initially, she developed wide-complex tachycardia requiring several defibrillations and was later intubated. Electrocardiogram showed ST-segment elevation. Coronary angiogram was negative and a pulmonary angiogram ruled out pulmonary embolism. Fetal compromise was noted on the monitor, and the patient underwent an emergent cesarean section. She subsequently expired. Autopsy confirmed severe myocarditis. Further testing confirmed influenza A (H1N1) virus. This case of a rare, yet lethal, complication of H1N1 infection underscores the importance of increased awareness among health care professionals to provide pregnant women with vaccination and prompt treatment. |
| Databáze: | OpenAIRE |
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