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Cited by 320

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Usefulness of Immunosuppression for Giant Cell Myocarditis

Open access
Cooper, Leslie T., Hare, Joshua M., Tazelaar, Henry D., Edwards, William D., Starling, Randall C., Deng, Mario C., Menon, Santosh, Mullen, G. Martin, Jaski, Brian, Bailey, Kent R., Cunningham, Madeleine W., Dec, G. William·2008·The American Journal of Cardiology

Abstract

Giant cell myocarditis (GCM) is a rare and highly lethal disorder. The only multi-center case series with treatment data lacked data on cardiac function and had a retrospective design. We conducted a prospective, multi-center study of immunosuppression including cyclosporine and steroids for acute, microscopically-confirmed GCM. From June 1999 to June 2005, 11 subjects received high dose steroids, cyclosporine, and in 9 cases muromonab-CD3 in a standard protocol. Among these, 7 of 11 were female, the mean age was 60±15 years, and the mean time from symptom onset to presentation was 27±33 days. During one year of treatment, one subject died of respiratory complications at day 178, and 2 subjects received heart transplantations on days 2 and 27 respectively. Serial endomyocardial biopsies revealed that after 4 weeks of treatment the degree of necrosis, cellular inflammation and giant cells decreased (P=.001). One subject, who completed the trial, subsequently died of a fatal GCM recurrence after withdrawal of immunosuppression. Her case demonstrates for the first time that there is a risk of recurrent, sometimes fatal GCM after cessation of immunosuppression. In conclusion, this prospective study of immunosuppression for GCM confirms retrospective case reports that such therapy improves long-term survival. Additionally, withdrawal of immunosuppression can be associated with fatal GCM recurrence.

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Metadata

Authors
Cooper, L. T., Hare, J. M., Tazelaar, H. D., Edwards, W. D., Starling, R. C., Deng, M. C., Menon, S., Mullen, G. M., Jaski, B., Bailey, K. R., Cunningham, M. W., & Dec, G. W.
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
2008-12
Volume
102
Issue
11
Pages
1535-1539
ISSN
0002-9149 (ISSN-L)
OpenAlex
W2039855971
Cited by
320
References
10
FWCI
6.38
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Usefulness of Immunosuppression for Giant Cell Myocarditis. https://app.cochat.ai/papers/10.1016/j.amjcard.2008.07.041
The paper
Cooper, L. T., Hare, J. M., Tazelaar, H. D., Edwards, W. D., Starling, R. C., Deng, M. C., Menon, S., Mullen, G. M., Jaski, B., Bailey, K. R., Cunningham, M. W., & Dec, G. W. (2008). Usefulness of Immunosuppression for Giant Cell Myocarditis. The American Journal of Cardiology. https://doi.org/10.1016/j.amjcard.2008.07.041

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.