PMC5585673_01
(a) Patient 08/11/2007 four-chamber view echocardiogram showing a dilated myocardium and an ejection fraction of 25% note sinus rhythm; (b) Patient 09/04/2007 four-chamber view echocardiogram showing less dilatation, movement of myocardium inward during systole, and an ejection fraction of 55%; (c) EKG showing monomorphic ventricular tachycardia due to GPA myocarditis and hyperkalemia.
CRIM2017-6501738.001.jpg
PMC5585673_01_CRIM2017-6501738.001.jpg
fig1
Upon presentation to the emergency department, she developed a wide complex tachycardia consistent with monomorphic ventricular tachycardia (see Figure 1). For trends in the labs and echocardiogram data pertinent to this presentation please see Figures 1 and 2 and Table 1. She received two doses of cyclophosphamide and required subsequent treatment with rituximab with complete remission of her symptoms for the last four years (see Figure 2 and Table 1).
(a) Graph of trend of platelet count versus time for initial hospitalization for patient. (b) Graph of trend of ejection fraction (EF) versus time for initial hospitalization for patient. (c) Graph of downtrend of troponin after peak value of 33.6 ng/ml versus time for initial hospitalization for patient. (d) Graph of trend of serum creatinine versus time for initial hospitalization for patient.
CRIM2017-6501738.002.jpg
PMC5585673_01_CRIM2017-6501738.002.jpg
fig2
For trends in the labs and echocardiogram data pertinent to this presentation please see Figures 1 and 2 and Table 1. She received two doses of cyclophosphamide and required subsequent treatment with rituximab with complete remission of her symptoms for the last four years (see Figure 2 and Table 1).