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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1990-2-22
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pubmed:abstractText |
We report a case of a 17 year old sports woman, who had a ventricular fibrillation episode with cardiogenic shock during endonasal anaesthesia containing epinephrine. She was so transferred to our department (in shock): the 2-D echo showed biventricular hypokinesia without dilatation (LVEF less than 25%). Endomyocardial biopsy performed 5 days later showed active lymphocyte myocarditis with interstitial fibrosis. There were serum antibodies anti-Echo 9 and Coxsackie B 1, 2, 3. Immunoassay, urinary catecholamines and glucagon test were normal. The clinical picture was resolved within 15 days using intravenous isoprenaline and/or dopamine initially followed by oral diuretics and digoxin; the therapy was broke off at the time of discharge. We believe that the vasoconstriction and/or the oxygen wasting effect caused by epinephrine revealed latent myocarditis which had not been shown up even by intensive physical training.
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pubmed:language |
ita
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0393-1978
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
803-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2605590-Adolescent,
pubmed-meshheading:2605590-Anesthesia, Inhalation,
pubmed-meshheading:2605590-Biopsy,
pubmed-meshheading:2605590-Epinephrine,
pubmed-meshheading:2605590-Female,
pubmed-meshheading:2605590-Humans,
pubmed-meshheading:2605590-Myocarditis,
pubmed-meshheading:2605590-Myocardium,
pubmed-meshheading:2605590-Ventricular Fibrillation
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pubmed:year |
1989
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pubmed:articleTitle |
[Acute latent myocarditis appearing with ventricular fibrillation after intranasal administration of adrenaline. Description of a case].
|
pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|