Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis.
A 42-year-old man presented with a viral prodrome and tested positive for influenza A. He rapidly deteriorated developing cardiogenic shock, rhabdomyolysis, and acute kidney injury. Patient improved 1 week later with supportive measures including vasopressors, inotropes, and an intraaortic balloon pump. We report this case as it highlights the discordance between echocardiographic ventricular wall thickening as a result of myocardial edema, and electrocardiographic findings at presentation, with a reversal in findings at time of resolution. Additionally, there was some suggestion of a regional pattern to the reduced longitudinal strain.
Published In/Presented At
Hawwa, N., Popovic, Z. B., & Isma'eel, H. A. (2015). Discordant Electrocardiogram Left Ventricular Wall Thickness and Strain Findings in Influenza Myocarditis. Echocardiography (Mount Kisco, N.Y.), 32(12), 1880–1884. https://doi.org/10.1111/echo.13024
Medicine and Health Sciences
Department of Medicine, Cardiology Division