Stokes-Adams Syndrome as the Debut of Fulminant Myocarditis: A Successful Case Report

Abstract

Myocarditis is usually caused by viral infections other causes include autoimmune diseases and other microbial agents. Fulminant myocarditis is an unusual complication that results in acute heart failure and cardiogenic shock. We present a case report of a patient without immunosuppression, with chest pain and decrease functional capacity, with electrocardiographic evidence of auriculoventricular block that results in acute heart failure and cardiogenic shock. Myocardial biopsy indicates fulminant myocarditis, that is unusual in immunocompetent patient. An advance hemodynamic monitoring and circulatory support was given with satisfactory results but with the need of a definitive pacemaker due to rhythm complication.