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Marzullo A, Serio G, Cazzato G, Capuzzolo M, Nardelli C, Salzillo C. Is the endomyocardial biopsy in giant cell myocarditis of some help for the rapid indication for heart transplantation? Pathol Int 2024; 74:96-98. [PMID: 38149499 DOI: 10.1111/pin.13400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 11/11/2023] [Accepted: 11/29/2023] [Indexed: 12/28/2023]
Affiliation(s)
- Andrea Marzullo
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
| | - Gabriella Serio
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
| | - Gerardo Cazzato
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
| | - Marialessandra Capuzzolo
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
| | - Carla Nardelli
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
| | - Cecilia Salzillo
- Department of Precision and Regenerative Medicine and Ionian Area, Pathology Unit, University of Bari "Aldo Moro", Bari, Italy
- Department of Experimental Medicine, PhD Course in Public Health, University of Campania "Luigi Vanvitelli", Naples, Italy
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Blagova O, Ainetdinova D, Sedov A, Lutokhina Y, Kogan E, Kukleva A, Sedov V, Zaitsev A, Vasukov S, Alexandrova S, Sarkisova N. Progressive chronic SARS-CoV-2-positive giant cell myoendocarditis with atrial standstill and sudden cardiac death. ESC Heart Fail 2021; 8:4296-4300. [PMID: 34327860 PMCID: PMC8426732 DOI: 10.1002/ehf2.13520] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 06/21/2021] [Accepted: 07/05/2021] [Indexed: 12/01/2022] Open
Abstract
Giant cell myocarditis (GCM) is a rare condition. Its association with SARS‐CoV‐2 has not been described before. The 46‐year‐old female patient was admitted to the clinic on September 2020. She had 7 year adrenal insufficiency history and infarct‐like debut of myocardial disease in November 2019. After COVID‐19 in April 2020, cardiac disease progressed. The examination showed low QRS voltage, QS complexes in V1–V5 leads, atrial standstill, left ventricular systolic and restrictive dysfunction, elevated anti‐heart antibodies, and subepicardial late gadolinium enhancement by magnetic resonance imaging. Endomyocardial biopsy and pacemaker implantation were performed, but the patient died suddenly due to ventricular tachycardia or ventricular fibrillation (the resuscitation was ineffective). The autopsy revealed GCM, SARS‐CoV‐2, and Parvovirus B19 were detected in the myocardium. The role of SARS‐CoV‐2 in the pathogenesis of autoimmune myocarditis is discussed.
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Affiliation(s)
- Olga Blagova
- Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), 8-2, Trubetskaya Street, Moscow, Russia
| | - Dilyara Ainetdinova
- Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), 8-2, Trubetskaya Street, Moscow, Russia
| | - Alexey Sedov
- Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), 8-2, Trubetskaya Street, Moscow, Russia
| | - Yulia Lutokhina
- Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), 8-2, Trubetskaya Street, Moscow, Russia.,Internal Diseases Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Evgeniya Kogan
- Pathology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Anna Kukleva
- Pathology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Vsevolod Sedov
- Radiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Alexander Zaitsev
- Interventional Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Sergey Vasukov
- Interventional Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), Moscow, Russia
| | - Svetlana Alexandrova
- Radiology Department, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russia
| | - Natalya Sarkisova
- Cardiology Department, The First I.M. Sechenov Moscow State Medical University (Sechenov University), 8-2, Trubetskaya Street, Moscow, Russia
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