Intramyocardial haemorrhage: a rare sequela of acute myopericarditis


Intramyocardial haemorrhage: a rare sequela of acute myopericarditis


Sahar Mohmed1, Kate Batouskaya1, Jakub Lagan2, Pei Gee Chew1,2, Dania Mohty3,4, Aleem Khand1,2,5*

¹Sahar Mohmed, MBBS, MRCP UK, (Cardiology clinical fellow, Department of Cardiology, Liverpool University Hospitals NHS Trust, Lower Lane, Liverpool L97AL, UK). ¹Kate Batouskaya (Core Medical trainee, Department of Cardiology, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE). ²Jakub Lagan (Cardiologist, Department of Cardiology, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK). 1,2Pei Gee Chew, MBChB, MRCP UK, AFHEA, MD(Res) (Department of Cardiology, Liverpool University Hospitals NHS Trust, Lower Lane, Liverpool L97AL, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK). 3,4Dania Mohty, University of Limoges, Limoges, France, King Faisal Specialist Hospital, Riyadh, Saudi Arabia). 1,2,5Aleem Khand, MBChB MRCP MD Dip Interventional  Card iologyand Cardiac MRI FESC, Cardiology Consultant, Department of Cardiology, Liverpool University Hospitals NHS Trust, Lower Lane, Liverpool L97AL, Department of Cardiology, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK. University of Liverpool).


INTRODUCTION

Acute myopericarditis is an inflammatory disease of myocardium and pericardium. The disease has variable presentation ranging from mildly symptomatic cases to severe disease manifested by cardiomyopathy with associated risk of sudden cardiac death. However, the association with intramyocardial hemorrhage (IMH) has not been previously described.

CASE REPORT

We describe an IMH detected by cardiac magnetic resonance imaging, in a patient with classical ‘de novo’ myopericarditis. To the best of the authors’ knowledge, this has not been previously described in patients without associated haematological or connective tissue disorders.

CONCLUSION

The adverse prognostic signal of IMH in acute myocardial infarction may also be reflected by IMH in acute myopericarditis and lead to adverse ventricular remodeling. The pathophysiology of IMH in myopericarditis is unknown and warrants further exploration.


Keywords: Intramyocardial hemorrhage;Myopericarditis;Cardiac magnetic resonance imaging


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How to cite this article:

Sahar Mohmed, Kate Batouskaya, Jakub Lagan, Pei Gee Chew, Dania Mohty, Aleem Khand. Intramyocardial haemorrhage: a rare sequela of acute myopericarditis. International Journal of Case Reports, 2021; 5:212. DOI: 10.28933/ijcr-2021-02-2105


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