48yo M w/ cardiogenic shock secondary to IgG4 myocarditis
Dr. Rachel Bijou | Morning Report | 05/17/2017
Myocarditis - Usually see EKG abnormalities, troponemia. Godl standard of diagnosis is biopsy. However, usually only biopsy very sick patients (cardiogenic shock, arrhythmias) or if patient has concomitant collagen vascular disease.
Posted 05/17/17 11:35:43 AM by Emily Miller
Plasma cells are very very rare to see in biopsy of the heart. If seen, likely an indication of a more rare process such as IgG4 disease
Posted 05/17/17 11:36:33 AM by Emily Miller
For patient's with chronic heart disease who come in with decompensated heart failure, typically continue medications such as beta blockers and ACEI. Patient's benefit from continuing these medications to maintain support fir remodeling.