Short coupled Torsade de pointes with myocardial injury: A possible sequela of myocarditis

Autor: Marume, Kyohei, Ishibashi, Kohei, Noda, Takashi, Ohta-Ogo, Keiko, Yasuda, Satoshi, Kusano, Kengo
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Popis: A 44-year-old woman with previous myocarditis underwent several syncopal events due to self-terminated ventricular fibrillation (VF) with hypokalemia. Electrocardiogram showed a normal QT duration and premature ventricular contraction with a short coupling interval (280 ms), and the R-on-T phenomenon induced Torsade de pointes (TdP) that deteriorated into VF, a condition known as short coupled TdP (ScTdP). Cardiac magnetic resonance imaging showed left ventricular dilatation and diffuse high T2 signal intensity, and endomyocardial biopsy exhibited a failing myocardium. This is a rare case of ScTdP accompanied by a failing myocardium. Some instances of ScTdP may be associated not only with an electrical disorder but also with a structural myocardial disorder.
Databáze: OpenAIRE