Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis

Here we report the case of a 31-year-old man admitted to our hospital with echocardiografic and Cardiac Magnetic Resonance signs of myocarditis complicated by ventricular tachycardia, initially resolved with direct current shock. After the recurrence of ventricular tachycardia the patient was submit...

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Main Authors: Emanuele Cecchi, Serena Fatucchi, Elena Crudeli, Cristina Giglioli
Format: Article
Language:English
Published: Karolinum Press 2012-01-01
Series:Acta Medica
Subjects:
Online Access:https://actamedica.lfhk.cuni.cz/55/2/0096/
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author Emanuele Cecchi
Serena Fatucchi
Elena Crudeli
Cristina Giglioli
author_facet Emanuele Cecchi
Serena Fatucchi
Elena Crudeli
Cristina Giglioli
author_sort Emanuele Cecchi
collection DOAJ
description Here we report the case of a 31-year-old man admitted to our hospital with echocardiografic and Cardiac Magnetic Resonance signs of myocarditis complicated by ventricular tachycardia, initially resolved with direct current shock. After the recurrence of ventricular tachycardia the patient was submitted to electrophysiological study revealing a re-entrant circuit at the level of the medium segment of interventricular septum, successfully treated with transcatheter ablation. This case highlights how the presence of recurrent ventricular arrhythmias at the onset of acute myocarditis, suspected or proven, could be associated with a pre-existing arrhythmogenic substrate, therefore these patients should be submitted to electrophysiological study in order to rule out the presence of arrhythmogenic focuses that can be treated with transcatheter ablation.
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spelling doaj.art-11a0c9d9a43b478b92f43465627df0df2022-12-21T16:54:01ZengKarolinum PressActa Medica1211-42861805-96942012-01-01552969910.14712/18059694.2015.63Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating MyocarditisEmanuele Cecchi0Serena Fatucchi1Elena Crudeli2Cristina Giglioli3Department of Heart and Vessels, Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyDepartment of Heart and Vessels, Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyDepartment of Heart and Vessels, Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyDepartment of Heart and Vessels, Azienda Ospedaliero-Universitaria Careggi, Florence, ItalyHere we report the case of a 31-year-old man admitted to our hospital with echocardiografic and Cardiac Magnetic Resonance signs of myocarditis complicated by ventricular tachycardia, initially resolved with direct current shock. After the recurrence of ventricular tachycardia the patient was submitted to electrophysiological study revealing a re-entrant circuit at the level of the medium segment of interventricular septum, successfully treated with transcatheter ablation. This case highlights how the presence of recurrent ventricular arrhythmias at the onset of acute myocarditis, suspected or proven, could be associated with a pre-existing arrhythmogenic substrate, therefore these patients should be submitted to electrophysiological study in order to rule out the presence of arrhythmogenic focuses that can be treated with transcatheter ablation.https://actamedica.lfhk.cuni.cz/55/2/0096/MyocarditisVentricular arrhythmiasElectrophysiological studyCatheter ablation
spellingShingle Emanuele Cecchi
Serena Fatucchi
Elena Crudeli
Cristina Giglioli
Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
Acta Medica
Myocarditis
Ventricular arrhythmias
Electrophysiological study
Catheter ablation
title Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
title_full Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
title_fullStr Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
title_full_unstemmed Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
title_short Role of Electrophysiological Study and Catheter Ablation for Recurrent Ventricular Tachycardia Complicating Myocarditis
title_sort role of electrophysiological study and catheter ablation for recurrent ventricular tachycardia complicating myocarditis
topic Myocarditis
Ventricular arrhythmias
Electrophysiological study
Catheter ablation
url https://actamedica.lfhk.cuni.cz/55/2/0096/
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