Publications by authors named "Shitoshi Hiroi"

A 20-year-old male patient with ulcerative proctitis presented with a fever and chest pain. He was diagnosed with rubella-associated myopericarditis due to pericardial rub, elevated troponin I, ST elevation, and positive rubella-immunoglobulin M. The patient subsequently developed cardiac tamponade but responded well to pericardial drainage and antiinflammatory therapy.

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Article Synopsis
  • Calcified amorphous tumors of the heart are rare, non-cancerous masses made up of calcified nodules and fibrous tissue, often linked to conditions like mitral annular calcification, especially in patients with kidney issues.
  • A case study of a 77-year-old woman with lung cancer revealed a tumor in her heart, which was surgically removed and identified as a calcified amorphous tumor, despite her normal kidney function.
  • The findings imply that there may be a connection between calcified amorphous tumors and cancer, potentially due to alterations in blood coagulation from the malignancy.
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Dilated cardiomyopathy (DCM) is a cardiac disease characterized by dilated ventricle and systolic dysfunction. Most of the DCM patients are sporadic cases, but a certain population of DCM patients can be familial cases caused by mutations in genes for sarcomere/Z-disc components including titin/connectin. However, disease-causing mutations could be identified only in a part of the familial DCM patients, suggesting that there should be other disease causing genes for DCM.

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Hypertrophic cardiomyopathy and dilated cardiomyopathy are two major clinical phenotypes of "idiopathic" cardiomyopathy. Recent molecular genetic analyses have now revealed that "idiopathic" cardiomyopathy is caused by mutations in genes for sarcomere components. We have recently reported several mutations in titin/connectin gene found in patients with hypertrophic cardiomyopathy or dilated cardiomyopathy.

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