Document Detail


'Frequent' ventricular bigeminy--a reversible cause of dilated cardiomyopathy. How frequent is 'frequent'?
MedLine Citation:
PMID:  16714145     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An interesting development in the field of heart failure has been the link between frequent premature ventricular contractions and cardiomyopathy. We report a patient whose frequent ventricular bigeminy resulted in left ventricular impairment that resolved after the use of non-contact mapping during radiofrequency ablation. A review of the literature regarding possible mechanisms is discussed. For the practicing clinician, the question of 'frequent' should be taken in context of symptoms and LV function. A single 24-h Holter monitor may not truly reflect the ectopic load. We recommend that if there is associated LV dysfunction and a causal link to frequent PVCs then suppression with radiofrequency ablation is a safe and effective treatment strategy.
Authors:
N Shanmugam; T P Chua; D Ward
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-03-06
Journal Detail:
Title:  European journal of heart failure     Volume:  8     ISSN:  1388-9842     ISO Abbreviation:  Eur. J. Heart Fail.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-27     Completed Date:  2007-02-21     Revised Date:  2011-06-08    
Medline Journal Info:
Nlm Unique ID:  100887595     Medline TA:  Eur J Heart Fail     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  869-73     Citation Subset:  IM    
Affiliation:
Royal Surrey County Hospital, Guildford, United Kingdom. nesan_s@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Cardiomyopathy, Dilated / etiology*,  pathology,  physiopathology*
Electrocardiography
Female
Humans
Middle Aged
Time Factors
Ventricular Dysfunction, Left / complications*,  physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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