It all starts with the ecg: Cardiac MRI in combination with electrophysiological study to stratify arrhythmic risk in a patient with non-ischemic cardiomyopathy and preserved lvef
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616.12-008.1-073.97 (1)
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975)
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AILOAEI, Stefan, URECHE, Carina-Gabriela, BOSTAN, Alex, TAPOI, Laura, URSU, Dan, CAZACU, Anatol, SASCĂU, Radu Andy, STATESCU, Cristian, GRECU, Mihaela. It all starts with the ecg: Cardiac MRI in combination with electrophysiological study to stratify arrhythmic risk in a patient with non-ischemic cardiomyopathy and preserved lvef. In: Revista Romana de Cardiologie, 2020, vol. 30, pp. 639-643. ISSN 1220-658X.
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Revista Romana de Cardiologie
Volumul 30 / 2020 / ISSN 1220-658X

It all starts with the ecg: Cardiac MRI in combination with electrophysiological study to stratify arrhythmic risk in a patient with non-ischemic cardiomyopathy and preserved lvef

CZU: 616.12-008.1-073.97

Pag. 639-643

Ailoaei Stefan12, Ureche Carina-Gabriela12, Bostan Alex1, Tapoi Laura1, Ursu Dan1, Cazacu Anatol3, Sascău Radu Andy12, Statescu Cristian12, Grecu Mihaela1
 
1 Institute of Cardiovascular Disease ”Prof. Dr. George I. M. Georgescu”, Iasi,
2 University of Medicine and Pharmacy “Grigore T. Popa”, Iasi,
3 German Center for Diagnostics
 
 
Disponibil în IBN: 8 august 2023


Rezumat

A 45-year-old male, hypertensive and obese presented with a 3-months history of short episodes of intermittent palpitations. Clinical examination was unremarkable; however, the electrocardiogram documented major right bundle branch block and the presence of fragmented QRS in all precordial leads. His echocardiography documented a dilated left ventricle, with mild systolic dysfunction and moderate biventricular reduction of the global longitudinal strain. On angiography, the epicardial coronary arteries were normal. A cardiac MRI revealed diffuse transmural fibrotic lesions with non-ischemic pattern of the ventricles, suggestive of chronic myocarditis. The electrophysiological study induced two ventricular tachycardia morphologies which were ablated and an ICD for sudden cardiac death primary prevention was implanted. Fortunately, at 6 months follow-up our patient had no ICD therapies and reported an alleviation of symptoms

Cuvinte-cheie
Electrophysiology study, ICD, myocarditis, primary prevention, risk stratification