Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study

  • Authors:
    • Dan‑Qing Yu
    • Ying Wang
    • Gui‑Zhou Ma
    • Rong‑He Xu
    • Zhi‑Xiong Cai
    • Chu‑Min Ni
    • Ping Chen
    • Zhi‑Dan Zhu
  • View Affiliations

  • Published online on: October 29, 2013     https://doi.org/10.3892/etm.2013.1372
  • Pages: 97-102
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Abstract

Acute fulminant myocarditis (AFM) is a serious heart disease with limited treatment. This observational retrospective study aimed to investigate whether intravenous immunoglobulin (IVIG) was able to improve left ventricular function and reduce the episodes of arrhythmia in adult patients with AFM. The medical records of all patients with AFM who were admitted to the Critical Care Unit of Guangdong General Hospital (Guangzhou, China) between January 2001 and December 2010 were reviewed. A cohort of 58 patients was included in the study. Of these 58, 32 patients were treated with IVIG (400 mg/kg per day) for five days, while the remaining patients did not receive IVIG therapy. The patients who received IVIG therapy had a higher left ventricular ejection fraction (LVEF) and a reduced left ventricular end‑diastolic diameter (LVDD) compared with the non‑IVIG therapy patients four weeks subsequent to the treatment (PLVEF=0.011 and PLVDD=0.048). The post‑treatment incidence of ventricular tachycardia/ventricular fibrillation (VT/VF) and atrioventricular block (AVB) was reduced in the patients who received IVIG therapy compared with the baseline values (PVT/VF=0.025, PAVB=0.003); however, no significant differences were observed in the non‑IVIG therapy patients (PVT/VF=0.564, PAVB=0.083) following treatment. There were two mortalities in the IVIG therapy group and seven in the non‑IVIG therapy group (P=0.072). This retrospective study suggested that the use of IVIG for the treatment of AFM may be associated with improved left ventricular function and reduced episodes of fulminant arrhythmias.
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2014-January
Volume 7 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Yu DQ, Wang Y, Ma GZ, Xu RH, Cai ZX, Ni CM, Chen P and Zhu ZD: Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study. Exp Ther Med 7: 97-102, 2014
APA
Yu, D., Wang, Y., Ma, G., Xu, R., Cai, Z., Ni, C. ... Zhu, Z. (2014). Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study. Experimental and Therapeutic Medicine, 7, 97-102. https://doi.org/10.3892/etm.2013.1372
MLA
Yu, D., Wang, Y., Ma, G., Xu, R., Cai, Z., Ni, C., Chen, P., Zhu, Z."Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study". Experimental and Therapeutic Medicine 7.1 (2014): 97-102.
Chicago
Yu, D., Wang, Y., Ma, G., Xu, R., Cai, Z., Ni, C., Chen, P., Zhu, Z."Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study". Experimental and Therapeutic Medicine 7, no. 1 (2014): 97-102. https://doi.org/10.3892/etm.2013.1372