Benign premature ventricular complexes from the right ventricular outflow tract triggered polymorphic ventricular tachycardia in a latent type 2 LQTS patient

A Sato, M Chinushi, K Sonoda, A Abe, D Izumi… - Internal …, 2012 - jstage.jst.go.jp
A Sato, M Chinushi, K Sonoda, A Abe, D Izumi, H Furushima
Internal Medicine, 2012jstage.jst.go.jp
A 57-year-old woman showed frequent premature ventricular complexes (PVCs) originating
from the right ventricular outflow tract (RVOT), and some of the PVCs triggered polymorphic
ventricular tachycardia (PVT). Structural heart diseases were ruled out by conventional
cardiac examinations. Radiofrequency catheter ablation was successful in eliminating the
PVCs and subsequent PVT. However, epinephrine infusion unmasked her prolonged QT
interval, and a genetic analysis revealed a KCNH2 mutation (R694H) as the cause of latent …
Abstract
A 57-year-old woman showed frequent premature ventricular complexes (PVCs) originating from the right ventricular outflow tract (RVOT), and some of the PVCs triggered polymorphic ventricular tachycardia (PVT). Structural heart diseases were ruled out by conventional cardiac examinations. Radiofrequency catheter ablation was successful in eliminating the PVCs and subsequent PVT. However, epinephrine infusion unmasked her prolonged QT interval, and a genetic analysis revealed a KCNH2 mutation (R694H) as the cause of latent type-2 long QT syndrome (LQTS). This case suggests that latent LQTS may work as an arrhythmogenic substrate of PVT triggered by a benign form of RVOT-PVCs in patients with a structurally normal heart.
jstage.jst.go.jp
以上显示的是最相近的搜索结果。 查看全部搜索结果