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An Irreversible Worsening Cardiac Function after Withdrawing Medical Treatments in a Patient with Dilated Cardiomyopathy: A Pathological Analysis
- Source :
- Internal Medicine
- Publication Year :
- 2020
- Publisher :
- The Japanese Society of Internal Medicine, 2020.
-
Abstract
- A 44-year-old man diagnosed with idiopathic dilated cardiomyopathy was admitted to our hospital with acute decompensated heart failure. Seven years before this admission, the first introduction of medication resulted in left ventricular (LV) recovery, which was sustained for several years. However, the patient stopped taking his medication, resulting in worsening of the LV function. Despite the second introduction of medication, the LV function did not improve. We performed cardiac magnetic resonance imaging and an endomyocardial biopsy, which revealed the significant development of cardiac fibrosis that had not been present at the time of the initial diagnosis.
- Subjects :
- Cardiac function curve
Adult
Cardiomyopathy, Dilated
Male
medicine.medical_specialty
Acute decompensated heart failure
medicine.drug_class
Cardiac fibrosis
cardiac fibrosis
Case Report
030204 cardiovascular system & hematology
Ventricular Function, Left
03 medical and health sciences
0302 clinical medicine
Cardiac magnetic resonance imaging
Internal medicine
Idiopathic dilated cardiomyopathy
Internal Medicine
medicine
magnetic resonance imaging
Humans
Beta blocker
Heart Failure
medicine.diagnostic_test
business.industry
Myocardium
Magnetic resonance imaging
Dilated cardiomyopathy
General Medicine
medicine.disease
renin-angiotensin-aldosterone system inhibitors
Cardiology
beta-blocker
030211 gastroenterology & hepatology
business
Subjects
Details
- Language :
- English
- ISSN :
- 13497235 and 09182918
- Volume :
- 60
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....5f3705768a7cad9588341db44c448101