No abstract available.
Diagnosis* ; Myocarditis*

Myocarditis is a focal or diffuse inflammatory process of the myocardium. Along with the deepening of research, there are new technological advances which are useful to the diagnosis and treatment of myocarditis. Cardiovascular magnetic resonance imaging has become a useful noninvasive imaging tool for diagnosis of myocarditis, but does not replace endomyocardial biopsy. The supportive treatment has remained the mainstay of therapy for patients with myocarditis, especially with fulminant myocarditis, including the comprehensive treatment of shock, heart failure, and arrhythmia. Due to the lack of large clinical data, diagnosis and treatment for myocarditis remains to be further explored.
Humans ; Myocarditis ; diagnosis ; therapy ; Prognosis

Electrocardiography ; Female ; Humans ; Myocarditis ; diagnosis ; physiopathology

Electrocardiography ; Female ; Humans ; Myocarditis ; diagnosis ; physiopathology

Child ; Echocardiography ; Humans ; Male ; Myocardial Infarction ; diagnosis ; Myocarditis ; diagnosis ; virology

Acute Disease ; Adult ; Cholecystitis, Acute ; diagnosis ; pathology ; Diagnostic Errors ; Female ; Humans ; Myocarditis ; diagnosis ; pathology

Diagnostic Errors ; Humans ; Male ; Multiple Endocrine Neoplasia Type 2a/diagnosis* ; Myocarditis/diagnosis*

This paper summarizes our experience of five cases of sick-sinus syndrome, hospitalized at Presbyterian Medical Center in Jeonju from January, 1980 to January, 1983. Diagnosis was made depending on clinical symptoms, physical examination, EKG and provocative test with atropine sulfate. The etiologies of 4 cases were as follows: coronary disease, hypertension, myocarditis, coronary disease with hypertension; but, the etiology of one case was not clear. Symptoms, including syncope, dizziness, and palpitation subsided after implanting the temporary pacemaker. A permanent pacemaker was implanted in all but one case, who had myocarditis.
Atropine ; Coronary Disease ; Diagnosis ; Dizziness ; Electrocardiography ; Hypertension ; Jeollabuk-do ; Myocarditis ; Physical Examination ; Protestantism ; Syncope

One hundred and thirty three heart specimens were collected from the cases submitted fo autopsy in the Department of Forensic Medicine in the Central District Office of National Institute of Scientific Investigation in January 2003-March 2004 and April-November 2005. The cardiac conduction system(CCS) of these heart were examined in order to find out histopathological changes in the CCS of Korean people and their forensic pathological significance. There were 98 males and 35 females. Almost all age groups were included. The results revealed that in the most of the people the fibrosis and fatty infiltration in the CCS increased with aging. The pathologic findings that may be causing arrhythmia, include 10 cases of severe narrowing of the sinoatrial(SA) or atrioventricular(AV) artery by fibromuscular hyperplasia(FMH), 9 cases of anomalous conduction fibers arising from atrioventriular node or His bundle, 5 cases of focal myocarditis of CCS were identified in this study. The authors concluded that routine examination of the CCS is helpful for revealing disease of the CCS and improving the quality of forensic pathologic diagnosis.
Aging ; Arrhythmias, Cardiac ; Arteries ; Autopsy ; Bundle of His ; Diagnosis ; Female ; Fibrosis ; Forensic Medicine ; Heart ; Humans ; Male ; Myocarditis

Hypersensitivity myocarditis is an inflammatory disease of the myocardium usually related to drug allergy. The clinical manifestation may be nonspecific, and the diagnosis is seldom suspected or established during the life. So in most of the reported patients, the diagnosis was made at autopsy. Although, retrospectively, more than 90% of the patients described have had clinically recognizable cardiac involvement before death, tole clinical suspicion of hypersensitivity myocarditis is rare. The presence of nonspecific cardiac finding in a patient receiving any drug associated with hypersensitivity should alert the clinician to the possibility of drug related myocarditis. We experienced a case of hypersensitivity myocarditis accompanying allergic skin lesion in a 58 years old man with a history of taking cefadroxil. Fortunately, the outcome was favorable, therefore we do not have histologic confirmation of the diagnosis.
Autopsy ; Cefadroxil ; Diagnosis ; Drug Hypersensitivity ; Humans ; Hypersensitivity* ; Middle Aged ; Myocarditis ; Myocardium ; Retrospective Studies ; Skin