title: Incessant ventricular tachycardia and cardiogenic shock: a common presentation of an uncommon diagnosis.
abstract: Giant cell myocarditis is a rare and highly lethal disease that is characterized by a rapidly progressive course of biventricular dysfunction. The authors present a case of giant cell myocarditis that presented with incessant ventricular tachycardia and cardiogenic shock in which clinical improvement was achieved with immunosuppressive therapy.
authors.affiliation: Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. bdrafts@wfubmc.edu
authors.forename: Brandon C
authors.initials: BC
authors.lastname: Drafts
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Sutton
authors.forename: Thomas D
authors.initials: TD
authors.lastname: Dubose
authors.forename: Vinay
authors.initials: V
authors.lastname: Thohan
mesh_terms: D000328:Adult; D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001706:Biopsy; D001774:Blood Chemical Analysis; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D016572:Cyclosporine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004562:Electrocardiography; D015726:Giant Cells / Q000473:pathology*; D006321:Heart / Q000000981:diagnostic imaging / Q000503:physiopathology; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use*; D008279:Magnetic Resonance Imaging; D008297:Male; D009205:Myocarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D009206:Myocardium / Q000473:pathology; D009657:North Carolina; D011241:Prednisone / Q000627:therapeutic use; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology*; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000503:physiopathology*; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000503:physiopathology*
chemical_list: D000889:Anti-Arrhythmia Agents; D007166:Immunosuppressive Agents; D016572:Cyclosporine; D000638:Amiodarone; D011241:Prednisone