Document Detail


Transient left ventricular aneurysm and hypertrophy accompanied by polymorphic ventricular tachycardia in a patient suspected of acute myocarditis.
MedLine Citation:
PMID:  10807534     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 75-year-old woman presented with recurrent ventricular tachycardia (VT) compatible with torsades de pointes (TdP) based on sinus bradycardia and QT prolongation. Previously she had received pirmenol, at a serum concentration within therapeutic range, for her paroxysmal atrial fibrillation. Emergent cardiac catheterization identified a ventricular aneurysm of the anteroapical and inferior wall along with angiographically normal coronary arteries. A right ventricular endomyocardial biopsy revealed postmyocarditic change. The left ventricular contraction improved after 5 weeks of conservative treatment. A follow-up echocardiogram revealed transient thickening of partial left ventricular wall consistent with the segment of the aneurysm. Several months later, almost all abnormal findings had improved except for sustained deep negative T waves in precordial leads. Acute myocarditis was primarily suspected as the cause of her clinical presentation.
Authors:
A Izawa; Y Yazaki; S Hayashi; H Imamura; Y Kusama; M Isobe
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  41     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-05-23     Completed Date:  2000-05-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  97-102     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Shinshu University School of Medicine, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Biopsy, Needle
Echocardiography
Electrocardiography
Female
Heart Aneurysm / complications*,  diagnosis
Humans
Hypertrophy, Left Ventricular / complications*,  diagnosis
Myocarditis / complications*,  diagnosis
Tachycardia, Ventricular / complications*,  diagnosis

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