Paroxysmal bidirectional ventricular tachycardia with tachycardiomyopathy in a pregnant woman
| Autor: | Stuart M. Cobbe, Nicola L Walker, Andrew D. McGavigan |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Tachycardia medicine.medical_specialty Adrenergic beta-Antagonists Pregnancy Complications Cardiovascular Catecholaminergic polymorphic ventricular tachycardia Ventricular tachycardia Pregnancy Internal medicine medicine Palpitations Bisoprolol Humans Sinus rhythm cardiovascular diseases Flecainide Cesarean Section business.industry Pregnancy Outcome General Medicine medicine.disease Bidirectional ventricular tachycardia Anesthesia Tachycardia Ventricular cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine business Anti-Arrhythmia Agents medicine.drug |
| Zdroj: | Acta Cardiologica. 64:419-422 |
| ISSN: | 0001-5385 |
| Popis: | Palpitations in pregnancy are not an uncommon complaint. We present a case of palpitations in the third trimester related to bidirectional ventricular tachycardia with evidence, of left ventricular systolic dysfunction. The case was successfully managed with flecainide therapy and urgent elective caesarean section. The rhythm stabilised to sinus rhythm and left ventricular systolic function normalised. We discuss the possible underlying diagnosis of catecholaminergic polymorphic ventricular tachycardia with resultant tachycardiomyopathy. A literature review of bidirectional ventricular tachycardia is presented. This is the first reported case of bidirectional VT producing LV systolic dysfunction, which normalised following stabilisation of rhythm. The complex issues of management of this case in particular with regard to the pregnancy are discussed. |
| Databáze: | OpenAIRE |
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