Accessory pathway induced dilated cardiomyopathy
10.3760/cma.j.issn.2095-428X.2017.01.003
- VernacularTitle:心室预激性扩张型心肌病
- Author:
Mei JIN
;
Chencheng DAI
;
Yufeng HUO
- Keywords:
Ventricular pre-excitation;
Dilated cardiomyopathy;
Dyssynchrony
- From:
Chinese Journal of Applied Clinical Pediatrics
2017;32(1):7-9
- CountryChina
- Language:Chinese
-
Abstract:
Accessory pathway-induced dilated cardiomyopathy is a new diagnosis proposed recently.Pre-excitation of part of the myocardium may mediate electrical and mechanical dyssynchrony,which will result in decreased left ventricular systolic function and increased diameter of left ventricle in patients with right-sided overt accessory pathways (type B ventricular preexcitation).Its features are listed as follows:(1) Incessant and prolonged tachyarrhythmia never happened.Tachycardiomyopathy and other causes of dilated cardiomyopathy are excluded.(2) Right-sided overt accessory pathways are shown by electrocardiogram.(3)Echocardiography indicates dyssynchronous left ventricle contraction,decreased left ventricular systolic function and increased diameter of left ventricle.Normal interventricular septal motion,recovered left ventricular and reversed left ventricular remodeling can be realized by radiofrequency ablation with a good prognosis.To infant patients,taking anti arrhythmia drugs to inhibit the conduction of the accessory pathway was recommended.
