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Peripartum cardiomyopathy presenting with ventricular tachycardia: a rare presentation.

Puri A, Sethi R, Singh B, Dwivedi S, Narain V, Saran R, Puri V - Indian Pacing Electrophysiol J (2009)

Bottom Line: A 25-year-old previously asymptomatic pregnant woman at 36 weeks' gestation was noticed to have repetitive monomorphic ventricular tachycardia.A dilated left ventricle with moderately reduced systolic function was found on echocardiographic examination.This is a very rare presentation of peripartum cardiomyopathy (PPCMP) presenting with repetitive monomorphic ventricular tachycardia.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, CSM Medical University (Former. King George's Medical University), Lucknow.

ABSTRACT
A 25-year-old previously asymptomatic pregnant woman at 36 weeks' gestation was noticed to have repetitive monomorphic ventricular tachycardia. A dilated left ventricle with moderately reduced systolic function was found on echocardiographic examination. This is a very rare presentation of peripartum cardiomyopathy (PPCMP) presenting with repetitive monomorphic ventricular tachycardia.

No MeSH data available.


Related in: MedlinePlus

Reappearance of the same monomorphic VT
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Figure 3: Reappearance of the same monomorphic VT

Mentions: Immediately after securing an intravenous line a DC cardioversion with 100 J was attempted in the emergency department, the VT transiently reverted to normal sinus rhythm (NSR) but within a few minutes it reappeared and was refractory even after 3 consecutive DC shocks of 360 J. The patient was administered bolus doses of intravenous adenosine (6 mg), followed by intravenous diltiazem (25mg), and finally intravenous amiodarone (150 mg) but there was no response to these drugs. The patient was consistently maintaining a BP of 100/70 mm Hg and was started on amiodarone infusion for 24 hours. Her echocardiogram revealed global hypokinesis with an ejection fraction of 35% with moderate to severe mitral regurgitation and tricuspid regurgitation. A provisional diagnosis of peripartum cardiomyopathy (PPCMP) was kept. The VT persisted at a rate of 200 beats per minute even after 24 hours. The following day the patient was administered intravenous metoprolol 5 mg and she reverted to NSR (Figure 2) which persisted for 12 hours and again the VT reappeared albeit at a slower rate (Figure 3).


Peripartum cardiomyopathy presenting with ventricular tachycardia: a rare presentation.

Puri A, Sethi R, Singh B, Dwivedi S, Narain V, Saran R, Puri V - Indian Pacing Electrophysiol J (2009)

Reappearance of the same monomorphic VT
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2683642&req=5

Figure 3: Reappearance of the same monomorphic VT
Mentions: Immediately after securing an intravenous line a DC cardioversion with 100 J was attempted in the emergency department, the VT transiently reverted to normal sinus rhythm (NSR) but within a few minutes it reappeared and was refractory even after 3 consecutive DC shocks of 360 J. The patient was administered bolus doses of intravenous adenosine (6 mg), followed by intravenous diltiazem (25mg), and finally intravenous amiodarone (150 mg) but there was no response to these drugs. The patient was consistently maintaining a BP of 100/70 mm Hg and was started on amiodarone infusion for 24 hours. Her echocardiogram revealed global hypokinesis with an ejection fraction of 35% with moderate to severe mitral regurgitation and tricuspid regurgitation. A provisional diagnosis of peripartum cardiomyopathy (PPCMP) was kept. The VT persisted at a rate of 200 beats per minute even after 24 hours. The following day the patient was administered intravenous metoprolol 5 mg and she reverted to NSR (Figure 2) which persisted for 12 hours and again the VT reappeared albeit at a slower rate (Figure 3).

Bottom Line: A 25-year-old previously asymptomatic pregnant woman at 36 weeks' gestation was noticed to have repetitive monomorphic ventricular tachycardia.A dilated left ventricle with moderately reduced systolic function was found on echocardiographic examination.This is a very rare presentation of peripartum cardiomyopathy (PPCMP) presenting with repetitive monomorphic ventricular tachycardia.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, CSM Medical University (Former. King George's Medical University), Lucknow.

ABSTRACT
A 25-year-old previously asymptomatic pregnant woman at 36 weeks' gestation was noticed to have repetitive monomorphic ventricular tachycardia. A dilated left ventricle with moderately reduced systolic function was found on echocardiographic examination. This is a very rare presentation of peripartum cardiomyopathy (PPCMP) presenting with repetitive monomorphic ventricular tachycardia.

No MeSH data available.


Related in: MedlinePlus