Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis
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Blackwell Publishing Inc.
Abstract
A 42-year-old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally there was some suggestion of a regional pattern to the reduced longitudinal strain. © 2015, Wiley Periodicals, Inc.
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Keywords
Influenza, Longitudinal strain, Myocardial edema, Adult, Diagnosis, differential, Echocardiography, Elastic modulus, Electrocardiography, Heart ventricles, Humans, Influenza, human, Male, Myocarditis, Creatine kinase, Dobutamine, Noradrenalin, Troponin t, Acute kidney failure, Article, Cardiogenic shock, Case report, Crackle, Deterioration, Drug dose increase, Fatigue, Fever, Heart index, Heart left ventricle ejection fraction, Heart left ventricle wall, Heart ventricle hypertrophy, Human, Influenza a, Intraaortic balloon pump, Lung wedge pressure, Myalgia, Oxygen saturation, Pericardial effusion, Pr interval, Priority journal, Renal replacement therapy, Rhabdomyolysis, Sinus tachycardia, St segment depression, St segment elevation, Tachycardia, Virus myocarditis, Diagnostic imaging, Differential diagnosis, Heart ventricle, Pathophysiology, Procedures, Young modulus