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European Heart Journal 1994 15(3):397-399;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Aborted sudden death in a young patient with isolated granulomatous myocarditis

Z. KHOURY, A. KEREN, J. BENHORIN and S. STERN

The Heiden Department of Cardiology, Bikur Cholim Hospital and Hebrew University-Hadassah Medical School Jerusalem, Israel

Received 19 February 1993; revised 27 September 1993; .

Correspondence: Zahi Khoury, MD, The Heiden Department of Cardiology, Bikur Cholim Hospital, P.O. Box 492, Jerusalem 91004, Israel

Abstract

A young athlete was successfully resuscitated from ventricular fibrillation. Subsequently severe heart failure developed and endomyocardial biopsy showed granulomatous myocarditis. Following steroid therapy, repeated biopsies demonstrated partial resolution of the inflammatory changes and mild myocardial fibrosis; the granulomas disappeared, and the patient recovered both clinically and haemodynamically. Three years later, the patient is asymptomatic, is practising long distance jogging, has a normal left ventricular ejection fraction and no evidence of arrhythmias.

Key Words: Sudden cardiac death • granulomatous myocarditis • endomyocardial biopsy • steroid therapy


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