• Internal medicine · Feb 2021

    Case Reports

    An Irreversible Worsening Cardiac Function after Withdrawing Medical Treatments in a Patient with Dilated Cardiomyopathy: A Pathological Analysis.

    • Mayu Yazaki, Takeru Nabeta, Takayuki Inomata, and Junya Ako.
    • Department of Cardiovascular Medicine, Kitasato University School of Medicine, Japan.
    • Intern. Med. 2021 Feb 15; 60 (4): 553-556.

    AbstractA 44-year-old man diagnosed with idiopathic dilated cardiomyopathy was admitted to our hospital with acute decompensated heart failure. Seven years before this admission, the first introduction of medication resulted in left ventricular (LV) recovery, which was sustained for several years. However, the patient stopped taking his medication, resulting in worsening of the LV function. Despite the second introduction of medication, the LV function did not improve. We performed cardiac magnetic resonance imaging and an endomyocardial biopsy, which revealed the significant development of cardiac fibrosis that had not been present at the time of the initial diagnosis.

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