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(Chest. 1973;64:243-246.)
© 1973 American College of Chest Physicians

Hyperkinetic Cardiovascular State in Polymyositis

John C. Babka LCDR, MC, USN1 and Carl J. Pepine LCDR, MC, USN1

1 Medical Service, Naval Hospital, Philadelphia, Pa.

Symptoms of congestive heart failure first prompted a man with polymyositis, without prior clinical evidence of cardiac disease, to seek medical attention. He was found to be in a hyperkinetic cardiovascular state refactory to treatment with digitalis, diuretics, and bedrest. The use of propranolol relieved the patient's hyperkinetic and congestive signs; however, the myositis continued to progress. Autopsy findings revealed that the patient's heart was microscopically normal. This case suggests the possibility that this unusual circulatory manifestation may occur as part of the polymyositis syndrome.






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Copyright © 1973 by the American College of Chest Physicians.