Young patient presenting with cardiogenic shock and refractory ventricular tachycardia: a case of unsuspected arrhythmogenic cardiomyopathy leading to urgent heart transplantation.
| Autor: | Yu B; Faculty of Medicine, Université Laval Québec, QC, Canada., Poulakos N; Faculty of Medicine, Université Laval Québec, QC, Canada., Beaulieu-Shearer A; Faculty of Medicine and Health Sciences, McGill University Montreal, QC, Canada., Turgeon PY; Department of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec Québec, QC, Canada., Trahan S; Department of Pathology, Institut Universitaire de Cardiologie et de Pneumologie de Québec Québec, QC, Canada., Belzile D; Department of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec Québec, QC, Canada., Sénéchal M; Department of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Québec Québec, QC, Canada. |
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| Jazyk: | angličtina |
| Zdroj: | American journal of cardiovascular disease [Am J Cardiovasc Dis] 2024 Apr 15; Vol. 14 (2), pp. 121-127. Date of Electronic Publication: 2024 Apr 15 (Print Publication: 2024). |
| DOI: | 10.62347/TAEY9817 |
| Abstrakt: | Arrhythmogenic right ventricular cardiomyopathy is an important differential diagnosis in young patients presenting with palpitations and/or dyspnea and must be appropriately investigated. A 23-year-old man presented with cardiogenic shock and monomorphic ventricular tachycardia. He reported palpitations and progressive dyspnea for more than two years, but those symptoms were attributed to anxiety without any further investigation by his family physician. Investigations after the catastrophic presentation in our center suggested terminal right-sided heart failure with severe hepatic insufficiency and acute kidney injury. The patient benefited from extracorporeal membrane oxygenation, followed by an urgent heart transplant 16 days later after the exclusion of liver cirrhosis. Histopathologic analysis of the explanted heart confirmed arrhythmogenic cardiomyopathy. Competing Interests: None. (AJCD Copyright © 2024.) |
| Databáze: | MEDLINE |
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