Incessant automatic ventricular tachycardia complicating acute coxsackie B myocarditis.

Abstract:

:A 13-year-old girl presented with incessant ventricular tachycardia complicating acute Coxsackie B3 myocarditis. Electrophysiologic assessment revealed that the tachycardia could not be terminated, overdrive suppressed or accelerated by programmed electrical stimulation, but was transiently slowed by intravenous adenosine triphosphate and had marked spontaneous and sympathoautonomic-mediated fluctuation in the tachycardia cycle length. These features were atypical of reentry and triggered automaticity and suggested that abnormal automaticity was the likely tachycardia mechanism. Intravenous amiodarone slowed the ventricular tachycardia, but the patient eventually succumbed from rapidly progressive left ventricular failure. Postmortem pathohistologic examination confirmed the diagnosis of acute myocarditis.

journal_name

Cardiology

journal_title

Cardiology

authors

Tai YT,Lau CP,Fong PC,Li JP,Lee KL

doi

10.1159/000175023

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

339-44

issue

5-6

eissn

0008-6312

issn

1421-9751

journal_volume

80

pub_type

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