Document Detail


Ventricular tachycardia in cardiac sarcoidosis controlled by radiofrequency catheter ablation.
MedLine Citation:
PMID:  21628935     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report a case of a 78-year-old woman with cardiac sarcoidosis with a history of syncope and palpitation. Further assessment with echocardiography, gadolinium-enhanced cardiovascular magnetic resonance (CMR) and histology led to a diagnosis of cardiac sarcoidosis. As the patient suffered from ventricular tachycardia (VT) despite active corticosteroid therapy, an implantable cardioverter-defibrillator (ICD) was positioned. She was also administered a beta blocker, but an electrical storm appeared every several days requiring ICD therapy. The drug-refractory VT was finally controlled with a catheter ablation session, during which we could detect the VT focus in the right ventricular outflow tract next to the aneurysm by using an electroanatomic mapping system (CARTO). Referring to echocardiographic and CMR images proved very useful in detecting the aneurysm using the CARTO system.
Authors:
Mika Bando; Takeshi Soeki; Toshiyuki Niki; Kenya Kusunose; Noriko Tomita; Koji Yamaguchi; Kunihiko Koshiba; Yoshio Taketani; Takashi Iwase; Hirotsugu Yamada; Tetsuzo Wakatsuki; Masashi Akaike; Masataka Sata
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Publication Detail:
Type:  Journal Article     Date:  2011-06-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  50     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2011  
Date Detail:
Created Date:  2011-06-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1201-6     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine, Institute of Health Biosciences, University of Tokushima Graduate School, Japan.
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