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Case Sharing: A Case of Juvenile Fulminant Myocarditis with Complete Atrioventricular Block and Persistent Ventricular Tachycardia Rescued by Impella
Dr. Yu Iemura, Shin Komonji Hospital
Case Examples
Female in her 20s
Chief complaint
Disturbance of consciousness
Medical history
One functional kidney, uterine fibroid
Medication
None
Life history
Drinking history: beer 350 mL/day,
Smoking history: none
No other special remarks
Uninfected with COVID-19, vaccinated 3 times
Current medical history
Day X-2: Fever in the 37 degree range, cough
Day X-1: SARS-CoV-2 PCR negative, acute bronchitis
Day X: General malaise, clouded consciousness, and emergency transport
Present on admission
BP 54/mmHg, HR 44 bpm, BT 36.8°C, RR 30/min, SpO2 99% (Room Air)
JCS: II-10,
Noticeable coldness at the ends of the extremities
12-lead ECG
HR 44 bpm, right bundle branch block, right axis deviation, complete atrioventricular b...
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