Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis

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dc.contributor.authorHawwa, Nael
dc.contributor.authorPopović, Zoran B.
dc.contributor.authorIsma’eel, Hussain A.
dc.contributor.departmentInternal Medicine
dc.contributor.departmentCardiology Services
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T11:46:53Z
dc.date.available2025-01-24T11:46:53Z
dc.date.issued2015
dc.description.abstractA 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.
dc.identifier.doihttps://doi.org/10.1111/echo.13024
dc.identifier.eid2-s2.0-84954498470
dc.identifier.pmid26234484
dc.identifier.urihttp://hdl.handle.net/10938/30696
dc.language.isoen
dc.publisherBlackwell Publishing Inc.
dc.relation.ispartofEchocardiography
dc.sourceScopus
dc.subjectInfluenza
dc.subjectLongitudinal strain
dc.subjectMyocardial edema
dc.subjectAdult
dc.subjectDiagnosis, differential
dc.subjectEchocardiography
dc.subjectElastic modulus
dc.subjectElectrocardiography
dc.subjectHeart ventricles
dc.subjectHumans
dc.subjectInfluenza, human
dc.subjectMale
dc.subjectMyocarditis
dc.subjectCreatine kinase
dc.subjectDobutamine
dc.subjectNoradrenalin
dc.subjectTroponin t
dc.subjectAcute kidney failure
dc.subjectArticle
dc.subjectCardiogenic shock
dc.subjectCase report
dc.subjectCrackle
dc.subjectDeterioration
dc.subjectDrug dose increase
dc.subjectFatigue
dc.subjectFever
dc.subjectHeart index
dc.subjectHeart left ventricle ejection fraction
dc.subjectHeart left ventricle wall
dc.subjectHeart ventricle hypertrophy
dc.subjectHuman
dc.subjectInfluenza a
dc.subjectIntraaortic balloon pump
dc.subjectLung wedge pressure
dc.subjectMyalgia
dc.subjectOxygen saturation
dc.subjectPericardial effusion
dc.subjectPr interval
dc.subjectPriority journal
dc.subjectRenal replacement therapy
dc.subjectRhabdomyolysis
dc.subjectSinus tachycardia
dc.subjectSt segment depression
dc.subjectSt segment elevation
dc.subjectTachycardia
dc.subjectVirus myocarditis
dc.subjectDiagnostic imaging
dc.subjectDifferential diagnosis
dc.subjectHeart ventricle
dc.subjectPathophysiology
dc.subjectProcedures
dc.subjectYoung modulus
dc.titleDiscordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis
dc.typeArticle

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