Broad complex tachycardia in a 46-year-old man
| Autor: | Abbas Zaidi, Zaheer Yousef, Baskar Sekar |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Tachycardia medicine.medical_specialty Sarcoidosis Biopsy Cardiomyopathy Magnetic Resonance Imaging Cine 030204 cardiovascular system & hematology Chest pain Sudden death Diagnosis Differential Electrocardiography 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Ventricular outflow tract cardiovascular diseases 030212 general & internal medicine Interventricular septum Arrhythmogenic Right Ventricular Dysplasia Presyncope business.industry Myocardium Middle Aged medicine.disease Arrhythmogenic right ventricular dysplasia medicine.anatomical_structure cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart. 106:602-623 |
| ISSN: | 1468-201X 1355-6037 |
| DOI: | 10.1136/heartjnl-2019-316397 |
| Popis: | A 46-year-old South Asian male with no comorbidity presented with palpitations and presyncope. There was no history of chest pain, and no family history of premature atherosclerosis, cardiomyopathy or sudden death. The presenting ECG is shown in figure 1A. Routine blood tests, including full blood count and inflammatory markers, were unremarkable. Admission troponin I was elevated at 470 ng/L (normal 0–34 ng/L), peaking at 1450 ng/L. Serum angiotensin-converting enzyme was marginally elevated at 63 U/L (normal 8–52 U/L). Echocardiography demonstrated normal biventricular dimensions, with moderate biventricular systolic impairment. Invasive angiography revealed unobstructed coronary arteries. Cardiac magnetic resonance (CMR) imaging demonstrated marked hypokinesia of the interventricular septum and right ventricular outflow tract free … |
| Databáze: | OpenAIRE |
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