Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

経過中に心筋硬塞様心電図(Q波, ST上昇)を示した劇症肝炎の1例

Yoshida, Hidenori
Kusuhara, Shunichi
Yoshioka, Nobuhiko
Sogo, Taiji
Yamada, Nobuyuki
Nishiyama, Osamu
Yasuhara, Koichiro
Ueda, Minoru
Saito, Daiji
Mae, Ritsuo
Shimada, Yoshihiro
Matsuura, Hidemitsu
Omori, Hiroyuki
Kimoto, Katsuhiko
Shigei, Hiroshi
Haraoka, Shoichi
Thumnail 91_425.pdf 4.03 MB
Abstract
Serial elctrocardiograms of a 55 year old female showed a trasiently elevated ST-T wave and decreased R waves in right precordial leads suggesting anterior wall infraction during the course of fulminant hepatitis. Autopsy findings revealed marked cerebral edema, massive necrosis of the liver with lymphocytic infiltration, partial myocardial degeneration and necrosis with infiltration by lymphocytes and plasma cells. However, no significant lesions were found in the coronary arterial trees. These findings suggest that the electrocardiographic changes were due to catecholamine cardiomyopathy or viral myocarditis.
Keywords
fulminant hepatitis
viral myocarditis
catecholamine cardiomyopathy
ISSN
0030-1558
NCID
AN00032489