Isolated Right Ventricular Myocarditis: Rarely Reported Pathology
Objective. Preventing the morbidity and mortality from isolated right ventricular myocarditis by its early recognition and treatment. Background. The clinical presentation of myocarditis ranges from nonspecific systemic symptoms (fever, myalgia, palpitations, or exertional dyspnea) to fulminant card...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2015/790246 |
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| author | Hafeez Ul Hassan Virk Muhammad Bilal Munir |
| author_facet | Hafeez Ul Hassan Virk Muhammad Bilal Munir |
| author_sort | Hafeez Ul Hassan Virk |
| collection | DOAJ |
| description | Objective. Preventing the morbidity and mortality from isolated right ventricular myocarditis by its early recognition and treatment. Background. The clinical presentation of myocarditis ranges from nonspecific systemic symptoms (fever, myalgia, palpitations, or exertional dyspnea) to fulminant cardiac failure and sudden death. In our case, echocardiography raised the possibility of myocarditis at an early stage, although the signs and symptoms did not indicate right ventricular disease. Review of the literature showed only 4 previous reports, all diagnosed at autopsy, in which diagnosis was not suspected in vivo. Design/Methods. We are reporting case of a 23-year-old male with no past medical history who presented to emergency room with a nonexertional sharp left sided chest pain. Diagnostic tests were conducted, which revealed elevated troponins, decreased right ventricular ejection function but preserved left ventricular function, and no evidence of coronary artery disease. Results. A diagnosis of isolated right ventricular myocarditis was made on the basis of clinical, echocardiographic, and cardiac MRI findings. Conclusions. Isolated right ventricular myocarditis should be suspected in a patient with depressed right ventricular function without left ventricular involvement on echocardiography and cardiac MRI, elevated cardiac enzymes, and no evidence of coronary artery disease. |
| format | Article |
| id | doaj-art-6e05aa02b47a4740995a1bbdf7197f00 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-6e05aa02b47a4740995a1bbdf7197f002025-08-20T03:33:54ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/790246790246Isolated Right Ventricular Myocarditis: Rarely Reported PathologyHafeez Ul Hassan Virk0Muhammad Bilal Munir1Department of Internal Medicine, Mount Sinai Icahn School of Medicine, St. Luke’s Roosevelt Hospital, New York, NY 10027, USADepartment of Internal Medicine, UPMC Montefiore/Presbyterian Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USAObjective. Preventing the morbidity and mortality from isolated right ventricular myocarditis by its early recognition and treatment. Background. The clinical presentation of myocarditis ranges from nonspecific systemic symptoms (fever, myalgia, palpitations, or exertional dyspnea) to fulminant cardiac failure and sudden death. In our case, echocardiography raised the possibility of myocarditis at an early stage, although the signs and symptoms did not indicate right ventricular disease. Review of the literature showed only 4 previous reports, all diagnosed at autopsy, in which diagnosis was not suspected in vivo. Design/Methods. We are reporting case of a 23-year-old male with no past medical history who presented to emergency room with a nonexertional sharp left sided chest pain. Diagnostic tests were conducted, which revealed elevated troponins, decreased right ventricular ejection function but preserved left ventricular function, and no evidence of coronary artery disease. Results. A diagnosis of isolated right ventricular myocarditis was made on the basis of clinical, echocardiographic, and cardiac MRI findings. Conclusions. Isolated right ventricular myocarditis should be suspected in a patient with depressed right ventricular function without left ventricular involvement on echocardiography and cardiac MRI, elevated cardiac enzymes, and no evidence of coronary artery disease.http://dx.doi.org/10.1155/2015/790246 |
| spellingShingle | Hafeez Ul Hassan Virk Muhammad Bilal Munir Isolated Right Ventricular Myocarditis: Rarely Reported Pathology Case Reports in Cardiology |
| title | Isolated Right Ventricular Myocarditis: Rarely Reported Pathology |
| title_full | Isolated Right Ventricular Myocarditis: Rarely Reported Pathology |
| title_fullStr | Isolated Right Ventricular Myocarditis: Rarely Reported Pathology |
| title_full_unstemmed | Isolated Right Ventricular Myocarditis: Rarely Reported Pathology |
| title_short | Isolated Right Ventricular Myocarditis: Rarely Reported Pathology |
| title_sort | isolated right ventricular myocarditis rarely reported pathology |
| url | http://dx.doi.org/10.1155/2015/790246 |
| work_keys_str_mv | AT hafeezulhassanvirk isolatedrightventricularmyocarditisrarelyreportedpathology AT muhammadbilalmunir isolatedrightventricularmyocarditisrarelyreportedpathology |