Abstract:
:A 71-year-old woman was admitted to our department because of acute myocarditis. She was ameliorated with conventional heart failure treatment, however she developed left ventricular dilatation and cardiac troponin T (cTnT) was elevated again to >1.0 ng/ml 6 month after the first admission. She was re-admitted because of recurrent decompensated heart failure in spite of conventional treatment. Right ventricular endomyocardial biopsy revealed active myocarditis. Immunosuppressive therapy with prednisolone and azathioprine improved her symptoms and left ventricular function accompanied by a striking decrease of cTnT levels. The decreased cTnT level indicated an effective response to immunosuppression early after the beginning of treatment. These findings suggested that it is possible to evaluate the response to immunosuppressive therapy by serial measurement of cardiac troponin.
journal_name
J Cardioljournal_title
Journal of cardiologyauthors
Kadota S,Takeuchi Y,Izuhara M,Baba O,Shioji K,Uegaito T,Kadota E,Matsuda Mdoi
10.1016/j.jjcc.2008.05.002subject
Has Abstractpub_date
2008-10-01 00:00:00pages
154-8issue
2eissn
0914-5087issn
1876-4738pii
S0914-5087(08)00105-6journal_volume
52pub_type
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