Document Detail


Histological findings of the right and left ventricular myocardium and clinical follow up in idiopathic ventricular tachycardia.
MedLine Citation:
PMID:  3761528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to evaluate the etiology of so-called idiopathic ventricular tachycardia, endomyocardial biopsies were performed in four patients with electrocardiographically documented recurrent and sustained ventricular tachycardia. During the episodes of ventricular tachycardia, standard ECG showed a QRS pattern of right bundle branch block with left axis deviation in two patients and left bundle branch block in two patients. The episodes were associated with palpitation, dyspnea and hypotension in all cases. No organic heart disease was detected by physical examination, chest X-ray films, echocardiograms, left ventriculograms or coronary cineangiograms. His bundle electrograms showed blocks at various sites in the atrioventricular conduction system. The biopsy specimens revealed nonspecific myocardial degeneration in the right and left ventricles. These findings suggest mild but wide-spread myocardial damage in both the working myocardium and the conduction system. The clinical course of these patients appeared benign according to follow-up data of one to nine years' duration. None developed overt clinical signs of dilated, hypertrophic or restrictive cardiomyopathy.
Authors:
H Nagao; Y Hirota; M Kino; M Suwa; M Hara; Y Nakayama; Y Kitaura; K Kawamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  50     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1986 May 
Date Detail:
Created Date:  1986-11-10     Completed Date:  1986-11-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  396-404     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy
Cardiomyopathy, Dilated / pathology
Electrocardiography
Hemodynamics
Humans
Male
Myocardium / pathology*
Myofibrils / pathology
Tachycardia, Paroxysmal / etiology,  pathology*

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


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