Ventricular premature beats in young subjects without evidence of cardiac disease: histological findings.

Abstract:

:This report describes the results of right ventricle endomyocardial biopsies from 26 subjects (mean age 27 +/- 10 years) with premature ventricular beats and normal cardiac anatomy and mechanical function. Light microscopy examination revealed normal myocardium in 10 subjects (38%), acute myocarditis in two (7%), borderline myocarditis in one (3.5%), non-specific histological abnormalities including cellular hypertrophy, fibrosis and degenerative changes in 11 (42%), vasculitis in one (3.5%) and findings compatible with right ventricular dysplasia in the final subject (3.5%). The frequency of ventricular premature beats, as assessed by Holter monitoring, and the results of electrophysiological testing did not correlate with histopathological findings and their severity. These data indicate that some young subjects with premature ventricular beats of unknown origin have abnormal right ventricular biopsy findings. Adequate follow-up will probably demonstrate the clinical utility of these observations.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Di Biase M,Chiddo A,Caruso G,Tritto M,Marchese A,Rizzon P

doi

10.1093/oxfordjournals.eurheartj.a060248

subject

Has Abstract

pub_date

1992-06-01 00:00:00

pages

732-7

issue

6

eissn

0195-668X

issn

1522-9645

journal_volume

13

pub_type

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