| Torsades de pointes in a case of hypertrophic cardiomyopathy with special reference to the pathologic findings of the heart including the conduction system. | |
| | |
MedLine Citation:
|
PMID: 10420884 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A clinicopathologic study was performed in a 77-year-old female with hypertrophic cardiomyopathy who had experienced recurrent syncopal attacks due to Torsades de Pointes (TdP) following QT prolongation and atrioventricular block. She died suddenly two years later while eating dinner. Pathologic findings of the heart showed a dilated and hypertrophied left ventricle. The heart weighed 550 g. There were two foci of localized endocardial fibroelastosis (EFE) beneath the aortic valve, one with a size of 3.5 x 3.5 cm, and the other (2 x 1 cm) located on the upper ventricular septum. Histologic findings showed hypertrophy and disarray in the left ventricular myocardium. The conduction system using serial sectioning revealed remarkable bilateral bundle branch fibrosis and hypertrophied Purkinje fibers in the left bundle branch adjacent to the EFE on the ventricular septum. These findings were thought to be related to the occurrence of TdP. |
| | |
Authors:
|
K Kuboki; S Ohkawa; K Chida; C Watanabe; K Ueda; M Sugiura |
Related Documents
:
|
833524 - Mechanism of atrioventricular conduction: study on an analogue. 2523464 - Planarity of the spatial qrs loop. comparative analysis in normals, infarcts, ventricul... 1157284 - Unexpected cardiac arrest in patients after surgical correction of tetralogy of fallot. 17392984 - Ellis-van creveld syndrome. 20805434 - Maladaptive aortic properties in children after palliation of hypoplastic left heart sy... 9650674 - Safety of beating heart anastomosis during video-assisted coronary surgery attested by ... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Japanese heart journal Volume: 40 ISSN: 0021-4868 ISO Abbreviation: Jpn Heart J Publication Date: 1999 Mar |
Date Detail:
|
Created Date: 1999-08-05 Completed Date: 1999-08-05 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0401175 Medline TA: Jpn Heart J Country: JAPAN |
Other Details:
|
Languages: eng Pagination: 233-8 Citation Subset: IM |
Affiliation:
|
Division of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cardiomyopathy, Hypertrophic / complications, pathology*, physiopathology Death, Sudden, Cardiac* Electrocardiography Female Heart Conduction System / pathology*, physiopathology Humans Hypertrophy, Left Ventricular / complications, pathology*, physiopathology Torsades de Pointes / etiology, pathology*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Infradian rhythm of paroxysmal atrial fibrillation. A case report.
Next Document: Lower extremity hematoma as a complication of warfarinization in patients with artificial heart valv...