Eosinophilic heart: marked left ventricular wall thickening and myocardial dysfunction improving with corticosteroid therapy.
We report a case of a 34-year-old male with acute severe heart failure associated with marked concentric left ventricular wall thickening and biopsy evidence of eosinophilic myocardial infiltrate. This appears to be an unusual description of this degree of concentric myocardial thickening in eosinophilic myocarditis coupled with Doppler tissue echocardiography. Following high-dose corticosteroid treatment, wall thickness, systolic and diastolic left ventricular function normalized and the patient experienced a dramatic clinical improvement.
Adsett
Michael
M
St. Andrew's Heart Institute, Brisbane, Qld, Australia.
West
Malcolm J
MJ
Galbraith
Andrew
A
Duhig
Edwina
E
Lange
Aleksandra
A
Palka
Przemyslaw
P
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D000328:Adult; D015150:Echocardiography, Doppler; D004802:Eosinophilia / Q000150:complications / Q000188:drug therapy*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008297:Male; D009205:Myocarditis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D009206:Myocardium / Q000473:pathology*; D020257:Ventricular Remodeling / Q000502:physiology*
D000305:Adrenal Cortex Hormones