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Lymphocytic Myocarditis and Cardiogenic Shock in Hawai'i: A Case Series

Luke Lam1,2, Sakda Sathirareuangchai1,2, Jared Oyama1,2

  • 1John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (LL, SS, JO, GD).

Hawai'I Journal of Health & Social Welfare
|September 3, 2019
PubMed

Insights

Lymphocytic myocarditis can cause severe heart problems, even in young women. Early diagnosis and mechanical support are crucial for survival in these challenging cases.

Area of Science:

  • Cardiology
  • Pathology
  • Immunology

Background:

  • Lymphocytic myocarditis is an inflammation of the heart muscle.
  • It presents with varied symptoms, making diagnosis difficult.
  • Cardiogenic shock is a severe complication.

Observation:

  • Four young women presented with lymphocytic myocarditis and cardiogenic shock.
  • This specific presentation was previously undocumented in Hawai'i.
  • Outcomes varied, with two survivors and two fatalities.

Findings:

  • The nonspecific nature of lymphocytic myocarditis complicates early diagnosis.
  • Prompt biventricular mechanical circulatory support was associated with improved survival.
  • This case series highlights a rare but critical presentation of the disease.

Implications:

  • Increased public and medical awareness of lymphocytic myocarditis is essential.
  • Timely diagnosis and intervention are critical for managing cardiogenic shock in myocarditis.
  • This underscores the importance of advanced cardiac support in critical care settings.

Keywords:
immunosuppressive therapyinflammatory heart diseaselymphocytic myocarditismechanical circulatory support

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