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Heart Lung. 2012 Nov-Dec;41(6):e39-43. doi: 10.1016/j.hrtlng.2012.02.009. Epub 2012 Mar 13.

Rare case of left-dominant arrhythmogenic right ventricular cardiomyopathy with dramatic reverse remodeling after cardiac resynchronization as an adjunct to pharmacological therapy.

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  • 1Division of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.

Abstract

A 57-year-old man presented with near syncope and hemodynamic compromise after exercise. A sustained ventricular tachycardia (VT) of right bundle-branch block morphology was evident upon examination at our emergency department. Baseline 12-lead electrocardiography revealed a sinus rhythm with a complete left bundle-branch block after successful cardioversion of the VT. Coronary angiography revealed patent coronary arteries, whereas left ventriculography demonstrated impaired systolic function, accompanied by a peculiar basal lateral aneurysm. Both echocardiography and magnetic resonance imaging were consistent with a diagnosis of left-dominant arrhythmogenic right ventricular cardiomyopathy. Four months later, substantial ventricular reverse remodeling and clinical improvements were observed after cardiac resynchronization therapy with a defibrillator, as an adjunct to conventional pharmacological therapy.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22417691
[PubMed - indexed for MEDLINE]
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