ABSTRACT
We present a 47-year-old woman with inappropriate sinus tachycardia. Initial treatment with beta blockers was not successful. The patient became asymptomatic and tachycardia resolved with ivabradine. In this report we review the potential role of ivabradine in the treatment of inappropriate sinus tachycardia.
Subject(s)
Benzazepines/therapeutic use , Tachycardia, Sinus/drug therapy , Echocardiography , Electrocardiography , Female , Heart Rate/drug effects , Humans , Ivabradine , Middle Aged , Tachycardia, Sinus/diagnosisABSTRACT
Cogan's syndrome is a rare idiopathic chronic inflammatory disease of the eye and the inner ear in young adults. Cogan's syndrome can be associated with large vessel vasculitis. We report a young female, with a history of interstitial keratitis and audiovestibular disease, who presents with large vessel vasculitis with left main coronary artery occlusion and develops heart failure. Cogan's syndrome was diagnosed on the basis of the presence of large vessel vasculitis with the typical inner ear and ocular involvement.
Subject(s)
Cogan Syndrome/diagnosis , Coronary Occlusion/etiology , Adult , Blood Vessel Prosthesis Implantation , Cardiovascular Agents/therapeutic use , Cogan Syndrome/complications , Cogan Syndrome/physiopathology , Cogan Syndrome/therapy , Combined Modality Therapy , Coronary Angiography , Coronary Artery Bypass , Coronary Occlusion/diagnostic imaging , Coronary Occlusion/physiopathology , Coronary Occlusion/therapy , Cyclophosphamide/administration & dosage , Electrocardiography , Female , Glucocorticoids/administration & dosage , Heart Failure/etiology , Heart Failure/therapy , Heart Valve Prosthesis Implantation , Humans , Immunosuppressive Agents/administration & dosage , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/therapy , Pulse Therapy, Drug , Treatment OutcomeABSTRACT
We present two case reports of young women with Takayasu arteritis and cardiovascular complications. The first case is a female patient suffering from significant aortic valve regurgitation, the second case is a woman who presents with amaurosis fugax and develops acute chest pain with heart failure. In this report we review cardiac involvement in Takayasu arteritis.
