A case of fulminant hepatitis with electrocardiographic changes simulating acute myocardial infarction

Hidenori YOSHIDA; Shunichi KUSUHARA; Nobuhiko YOSHIOKA; Showzo KUSACHI; Taiji SOGO; Nobuyuki YAMADA; Osamu NISHIYAMA; Koichiro YASUHARA; Minoru UEDA; Daiji SAITO; Ritsuo MAE; Yoshihiro SHIMADA; Hidemitsu MATSUURA; Hiroyuki OMORI; Katsuhiko KIMOTO; Hiroshi SHIGEI; Shoichi HARAOKA

doi:10.4044/joma1947.91.3-4_425

Hidenori YOSHIDA, Shunichi KUSUHARA, Nobuhiko YOSHIOKA, Showzo KUSACHI, Taiji SOGO, Nobuyuki YAMADA, Osamu NISHIYAMA, Koichiro YASUHARA, Minoru UEDA, Daiji SAITO, Ritsuo MAE, Yoshihiro SHIMADA, Hidemitsu MATSUURA, Hiroyuki OMORI, Katsuhiko KIMOTO, Hiroshi SHIGEI, Shoichi HARAOKA

Author information

Hidenori YOSHIDA
The First Department of Internal Medicine, Okayama University Medical School
Shunichi KUSUHARA
The First Department of Internal Medicine, Okayama University Medical School
Nobuhiko YOSHIOKA
The First Department of Internal Medicine, Okayama University Medical School
Showzo KUSACHI
The First Department of Internal Medicine, Okayama University Medical School
Taiji SOGO
The First Department of Internal Medicine, Okayama University Medical School
Nobuyuki YAMADA
The First Department of Internal Medicine, Okayama University Medical School
Osamu NISHIYAMA
The First Department of Internal Medicine, Okayama University Medical School
Koichiro YASUHARA
The First Department of Internal Medicine, Okayama University Medical School
Minoru UEDA
The First Department of Internal Medicine, Okayama University Medical School
Daiji SAITO
The First Department of Internal Medicine, Okayama University Medical School
Ritsuo MAE
The First Department of Internal Medicine, Okayama University Medical School
Yoshihiro SHIMADA
The First Department of Internal Medicine, Okayama University Medical School
Hidemitsu MATSUURA
The Department of Internal Medicine, Shigei Hospital
Hiroyuki OMORI
The Department of Internal Medicine, Shigei Hospital
Katsuhiko KIMOTO
The Department of Internal Medicine, Shigei Hospital
Hiroshi SHIGEI
The Department of Internal Medicine, Shigei Hospital
Shoichi HARAOKA
Physiological Section, Central Laboratory, Okayama University Medical School

Keywords: fulminant hepatitis, viral myocarditis, catecholamine cardiomyopathy

JOURNAL FREE ACCESS

1979 Volume 91 Issue 3-4 Pages 425-436

DOI https://doi.org/10.4044/joma1947.91.3-4_425

Details

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.

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