Abramov–Fiedler myocarditis

Authors: Yarmedova S.F., Piksina G.F., Vinogradova O.Yu.

Company: City clinical hospital named after E.O. Mukhin, Moscow, Russian Federataion

For correspondence:  Sign in or register.

Type:  Clinical Cases


DOI: https://doi.org/10.24022/1997-3187-2023-17-4-536-543

For citation: Yarmedova S.F., Piksina G.F., Vinogradova O.Yu. Abramov–Fiedler myocarditis. Creative Cardiology. 2023; 17 (4): 536–43 (in Russ.). DOI: 10.24022/1997-3187-2023-17-4-536-543

Received / Accepted:  30.10.2023 / 07.11.2023

Keywords: myocarditis fulminant myocarditis Abramov–Fiedler myocarditis



Subscribe 🔒

 

Abstract

It is known that the most rare causes of myocarditis include rapidly progressive forms, for example: necrotizing eosinophilic myocarditis, idiopathic giant cell myocarditis, as well as other forms of fulminant myocarditis, the cause and pathogenesis of which are not always clear. We present a clinical case of rapidly progressive myocarditis with unclear etiology, the main problem in the curation of which was the presence of a combined comorbid background that camouflaged the clinical picture, as well as technical difficulties in establishing the main diagnosis, which, unfortunately, ended in death. Postmortem, the diagnosis of Abramov–Fiedler myocarditis was established, occupying a niche of fulminant myocarditis, the nature, pathogenesis and therapy of which nowadays remain not fully understood. The described clinical case allows us to focus on the problem of underdiagnosis of similar and other forms of myocarditis due to non–specific symptoms, as well as the absence in a number of medical institutions of the possibility of carrying out the “golden standard” of diagnosis – endomyocardial biopsy

References

  1. Arutyunov G.P., Paleev F.N., Moiseeva O.M., Dragunov D.O., Sokolova A.V., Arutyunov A.G. et. al. 2020 Clinical practice guidelines for Myocarditis in adults. Russian Journal of Cardiology. 2021; 26 (11): 4790 (in Russ.). DOI: 10.15829/1560-4071-2021-4790
  2. Maisch B., Pankuweit S. Current treatment options in (peri) myocarditis and inflammatory cardiomyopathy. Herz. 2012; 37 (6): 644–56. DOI: 10.1007/s00059-012-3679-9
  3. Kogan E.A., Kukleva A.D., Berezovsky Yu.S., Blagova O.V., Zharkov N.V., Ainetdinova D.Kh., Demyashkin G.A. Clinical and morphological characteristics of SARS-CoV-2-related myocarditis proven by the presence of viral RNA and proteins in myocardial tissue. Arkhiv Patologii. 2021; 83 (4): 5–13 (in Russ.). DOI: 10.17116/patol2021830415
  4. Poteshkina N.G., Lysenko M.A., Kovalevskaya E.A., Fomina D.S., Samsonova I.V., Parshin V.V. et al. Cardiac damage in patients with COVID-19 coronavirus infection. Arterial’naya Gipertenziya (Arterial Hypertension). 2020; 26 (3): 277–87 (in Russ.). DOI: 10.18705/1607-419X-2020-26-3-277-287
  5. Leone O., Veinot J.P., Angelini A., Baandrup U.T., Basso C., Berry G. et al. 2011 consensus statement on endomyocardial biopsy from the Association for European Cardiovascular Pathology and the Society for Cardiovascular Pathology. Cardiovasc. Pathol. 2012; 21 (4): 245–74. DOI: 10.1016/j.carpath.2011.10.001
  6. Mason J.W. Myocarditis and dilated cardiomyopathy: an inflammatory link. Cardiovasc. Res. 2003; 60 (1): 5–10. DOI: 10.1016/s0008-6363(03)00437-1
  7. Nikulina S.Yu., Shesternya P.A., Kirichenko A.K., ChernovaA.A., Brusentsov D.A., Shulman V.A. Giant cell myocarditis in hiv infection: a fatal tandem. Russian Journal of Cardiology. 2018; 2: 129–33 (in Russ.). DOI: 10.15829/1560-4071-2018-2-129-133
  8. Titov V.A., Shishkova A.A., Mitrofanova L.B., Ivanova S.V., Zverev D.A., Marichev A.O. et al. The case of fulminant myocarditis. Kardiologiia. 2019; 59 (9): 91–6 (in Russ.). DOI: 10.18087/cardio.2019.9.n461
  9. Purba B.A. Fulminant myocarditis: a rare case report 2019. INARxiv. DOI: 10.17605/OSF.IO/FBJH9

About Authors

  • Sevindzh F. Yarmedova, Cardiologist; ORCID
  • Galina F. Piksina, Cand. Med. Sci., Head of Department, Cardiologist; ORCID
  • Olga Yu. Vinogradova, Cardiologist; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery