电邮这篇文章 Long-term treatment of morphologically verified myocarditis: successes and probable errors. Case report
- 作者: Blagova O.V.1, Alieva I.N.1, Kulikova V.A.1, Nedostup A.V.1, Kogan E.A.1, Sedov V.P.1, Parfenov D.A.1, Volovchenko A.N.1, Sarkisova N.D.1
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隶属关系:
- Sechenov First Moscow State Medical University (Sechenov University)
- 期: 卷 95, 编号 4 (2023)
- 页面: 327-334
- 栏目: Clinical notes
- URL: https://journals.rcsi.science/0040-3660/article/view/132924
- DOI: https://doi.org/10.26442/00403660.2023.04.202156
- ID: 132924
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Diagnosis and treatment of myocarditis can be challenging, including determining indications for heart transplantation. We present a 6-year medical history of a 54 years old patient with severe morphologically verified viral-negative lymphocytic myocarditis and systemic manifestations (onset of hemorrhagic vasculitis) combined with moderate coronary atherosclerosis, which regressed according to repeated coronary angiography. For 5 years, the patient received immunosuppressive therapy with methylprednisolone and azathioprine with a significant improvement. Repeated relapses of atrial fibrillation required correction of basic therapy and plasmapheresis. The disease was complicated by thyrotoxicosis and multi-organ dysfunction; the autopsy showed persistent myocarditis activity. The myocarditis is a chronic condition and requires a review of the treatment strategy at each stage.
作者简介
Olga Blagova
Sechenov First Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: blagovao@mail.ru
ORCID iD: 0000-0002-5253-793X
д-р мед. наук, проф. каф. факультетской терапии №1 Института клинической медицины им. Н.В. Склифосовского
俄罗斯联邦, MoscowIndira Alieva
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-3338-0762
канд. мед. наук, врач-кардиолог отделения кардиологии Факультетской терапевтической клиники им. В.Н. Виноградова
俄罗斯联邦, MoscowVictoria Kulikova
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-9255-5542
канд. мед. наук, ассистент каф. факультетской терапии №1 Института клинической медицины им. Н.В. Склифосовского
俄罗斯联邦, MoscowAlexander Nedostup
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-5426-3151
д-р мед. наук, проф., науч. сотр. НИО кардиологии
俄罗斯联邦, MoscowEvgeniya Kogan
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-1107-3753
д-р мед. наук, проф., зав. каф. патологической анатомии им. акад. А.И. Струкова Института клинической медицины им. Н.В. Склифосовского
俄罗斯联邦, MoscowVsevolod Sedov
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0003-2326-9347
д-р мед. наук, проф., проф. каф. лучевой диагностики Института клинической медицины им. Н.В. Склифосовского
俄罗斯联邦, MoscowDmitry Parfenov
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0003-4145-0158
канд. мед. наук, зав. отделением интенсивной терапии и реанимации №1 Университетской клинической больницы №1
俄罗斯联邦, MoscowAlexey Volovchenko
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-3220-3895
канд. мед. наук, врач – анестезиолог-реаниматолог отд-ния интенсивной терапии и реанимации №1 Университетской клинической больницы №1
俄罗斯联邦, MoscowNatalia Sarkisova
Sechenov First Moscow State Medical University (Sechenov University)
Email: blagovao@mail.ru
ORCID iD: 0000-0002-5979-1180
канд. мед. наук, зав. кардиологическим отделением Факультетской терапевтической клиники им. В.Н. Виноградова
俄罗斯联邦, Moscow参考
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