Heart and Vessels

, Volume 18, Issue 1, pp 43–46

Löffler's endocarditis associated with unusual ECG change mimicking posterior myocardial infarction

Authors

  • Hidetomo Maruyoshi
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • Satoshi Nakatani
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • Yoshio Yasumura
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • Akihisa Hanatani
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • Tomoyoshi Yamaguchi
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • Chikao Yutani
    • Division of Pathology, National Cardiovascular Center, Osaka, Japan
  • Hatsue Ishibashi-Ueda
    • Division of Pathology, National Cardiovascular Center, Osaka, Japan
  • Kunio Miyatake
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
  • M. Yamagishi
    • Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan. myamagi@hsp.ncvc.go.jp
CASE REPORT

DOI: 10.1007/s003800300007

Cite this article as:
Maruyoshi, H., Nakatani, S., Yasumura, Y. et al. Heart Vessels (2003) 18: 43. doi:10.1007/s003800300007

Abstract.

 A 73-year-old man with a history of bronchial asthma and atrial fibrillation was admitted to our hospital because of dyspnea and back pain. Blood analysis revealed a marked increase in total blood cell and eosinophil counts. The creatine kinase and creatine kinase-MB increased slightly. The ECG demonstrated significant ST-segment depression that mimicked acute posterior myocardial infarction. Emergent coronary angiography showed no stenotic lesions. The histological findings in endomyocardial biopsy showed thickened endocardium associated with significant eosinophilic infiltration, which was compatible with Löffler's endocarditis. After the administration of prednisolone, the patient's general condition, eosinophilia, ECG abnormalities, and histological findings were improved dramatically. The endomyocardial biopsy in the acute phase was helpful for diagnosis and therapeutic decision-making.

Key words Löffler's endocarditis Eosinophilia ST segment depression Biopsy

Copyright information

© Springer-Verlag Tokyo 2003