Tachycardiomyopathy Induced by Ventricular Premature Complexes: Complete Recovery after Radiofrequency Catheter Ablation.
10.3904/kjim.2006.21.3.213
- Author:
Kyoung Hoon RHEE
1
;
Ju Young JUNG
;
Kyoung Suk RHEE
;
Hyun Sook KIM
;
Jei Keon CHAE
;
Won Ho KIM
;
Jae Ki KO
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Ventricular premature complexes;
Cardiomyopathies;
Catheter ablation
- MeSH:
Ventricular Premature Complexes/*complications;
Tachycardia, Ventricular/*etiology/therapy;
Male;
Humans;
*Catheter Ablation;
Cardiomyopathies/*etiology/therapy;
Adult
- From:The Korean Journal of Internal Medicine
2006;21(3):213-217
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ventricular premature complexes (VPCs) are known to be one of the most benign cardiac arrhythmias when they occur in structurally normal hearts. We experienced a 32-year old man who presented with dyspnea, palpitations and very frequent VPCs (31% of the total heart beats). Echocardiography revealed a dilated left ventricle (LV 66 mm at end-diastole and 57 mm at end-systole) and a decreased ejection fraction (34%). Very frequent VPCs had been detected 10 years previously and he underwent a failed radiofrequency catheter ablation (RFCA) procedure at that time. The patient had been treated with heart failure medications including betablockers, ACE inhibitors and spironolactone for the two most recent years. Six months after we eliminated these VPCs with a second RFCA procedure, the heart returned to normal function and size. Long standing and very frequent VPCs could be the cause of left ventricular dysfunction in a subset of patients who suffer with dilated cardiomyopathy, and RFCA should be the choice of therapy for these patients.
