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Tachycardiomyopathy Induced by Ventricular Premature Complexes: Complete Recovery after Radiofrequency Catheter Ablation
The Korean Journal of Internal Medicine ; : 213-217, 2006.
Artigo em Inglês | WPRIM | ID: wpr-96802
ABSTRACT
Ventricular premature complexes (VPCs) are known to be one of the most benign cardiac arrhythmias when they occur in structurally normal hearts. We experienced a 32-year old man who presented with dyspnea, palpitations and very frequent VPCs (31% of the total heart beats). Echocardiography revealed a dilated left ventricle (LV 66 mm at end-diastole and 57 mm at end-systole) and a decreased ejection fraction (34%). Very frequent VPCs had been detected 10 years previously and he underwent a failed radiofrequency catheter ablation (RFCA) procedure at that time. The patient had been treated with heart failure medications including betablockers, ACE inhibitors and spironolactone for the two most recent years. Six months after we eliminated these VPCs with a second RFCA procedure, the heart returned to normal function and size. Long standing and very frequent VPCs could be the cause of left ventricular dysfunction in a subset of patients who suffer with dilated cardiomyopathy, and RFCA should be the choice of therapy for these patients.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Taquicardia Ventricular / Ablação por Cateter / Complexos Ventriculares Prematuros / Cardiomiopatias Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Internal Medicine Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Taquicardia Ventricular / Ablação por Cateter / Complexos Ventriculares Prematuros / Cardiomiopatias Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: The Korean Journal of Internal Medicine Ano de publicação: 2006 Tipo de documento: Artigo