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Korean J Crit Care Med > Volume 22(2); 2007 > Article
Korean Journal of Critical Care Medicine 2007;22(2): 96-100.
경험적 면역 글로불린 치료 후 호전을 보인 최근 발병한 특발성 확장성 심근증 1예-증례 보고-
김현수ㆍ임금남ㆍ신현종ㆍ이상표ㆍ안상봉ㆍ이용구ㆍ이영철ㆍ하나래ㆍ장선주ㆍ신진호
한양대학교 의과대학 내과학교실
Successful Empirical Treatment of Intravenous Immune Globulin in Recent-Onset Idiopathic Dilated Cardiomyopathy: A Case Report
Hyun Soo Kim, Keum Nam Rim, Hyun Jong Shin, Sang Pyo Lee, Sang Bong Ahn, Yong Gu Lee, Young Chul Lee, Na Rae Ha, Sun Joo Chang, Jin Ho Shin
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. jhs2003@hanyang.ac.kr
ABSTRACT
Intravenous immunoglobulin (IVIG) therapy has been introduced to idiopathic dilated cardiomyopathy due to their antiviral and anti-inflammatory effects. But each study reported conflicting result and treatment regimen has not been clearly established. We experienced a case of 28-year-old woman with idiopathic dilated cardiomyopathy with severely depressed cardiac function. Its onset time was obvious within 1 month. Despite of conservative treatment of heart failure, sudden cardiac arrest was developed. We tried IVIG therapy, and her symptoms and cardiac function were improved after IVIG treatment.
Key Words: Acute myocarditis; Idiopathic dilated cardiomyopathy; Immunoglobulin
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