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Acute biopsy‐proven lymphocytic myocarditis mimicking Takotsubo cardiomyopathy
Author(s) -
Caforio Alida L.P.,
Tona Francesco,
Vinci Annalisa,
Calabrese Fiorella,
Ramondo Angelo,
Cacciavillani Luisa,
Corbetti Francesco,
Leoni Loira,
Thiene Gaetano,
Iliceto Sabino,
Angelini Annalisa
Publication year - 2009
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1093/eurjhf/hfp008
Subject(s) - myocarditis , medicine , cardiology , cardiomyopathy , endomyocardial biopsy , heart failure , myocardial infarction , acute myocarditis , gold standard (test)
Endomyocardial biopsy (EMB), the diagnostic gold standard for myocarditis, has not been systematically performed in the reported case series of Takotsubo cardiomyopathy, although proposed Mayo Criteria specify exclusion of myocarditis. Moreover, there is no specific recommendation for infarct‐like acute myocarditis in the recently published guidelines on the role of EMB. Here we present a thoroughly documented case fulfilling both the proposed Mayo criteria for Takotsubo cardiomyopathy and the World Health Organization criteria for active, virus‐negative, immune‐mediated myocarditis. Since myocarditis can mimic acute myocardial infarction with normal coronary arteries, EMB should be performed to rule out myocarditis in patients presenting with LV apical ballooning syndrome (or Takotsubo cardiomyopathy).