Kantonsspital St.Gallen

Transient left ventricular "hypertrophy" in a woman with meningoencephalitis

Micha T. Maeder, Thomas Wolber, Hans Rickli & Peter Ammann

abstract We report the echocardiographic findings in a 27-year-old woman with viral meningoencephalitis and a positive test for cardiac troponin. Initially, the basal parts of the left ventricle were severely hypokinetic, whereas contraction in the mid-ventricle and apex was normal. A second echocardiogram obtained 19 days after the development of pulmonary edema showed a generalized, severe myocardial thickening, the left ventricular ejection fraction being normal. Three months after the initial examination the "hypertrophy" had disappeared. The serial echocardiograms along with a positive cardiac troponin led to the diagnosis of myocarditis, which can very rarely present with the echocardiographic picture of severe left ventricular thickening.
citation Maeder M T, Wolber T, Rickli H, Ammann P. Transient left ventricular "hypertrophy" in a woman with meningoencephalitis. Echocardiography (Mount Kisco, N.Y.) 2006; 23:582-4.
type journal paper/review (English)
date of publishing 8-2006
journal title Echocardiography (Mount Kisco, N.Y.) (23/7)
ISSN print 0742-2822
pages 582-4
PubMed 16911332
DOI 10.1111/j.1540-8175.2006.00263.x