67 year old female presented with hypertension and recurrent idiopathic ventricular tachycardia. Her past medical history is significant for cardiac arrest and subsequent implanted pacer-cardioverter-defibrillator. The patient at the time of physical examination had a regular rate and rythym and a normal auscultation examination. Tests: Prior stress test: negative Initial ECG: sinus rhythm incomplete right bundle branch block borderline low voltage T-wave inversion in the inferior and anterolateral leads CXR: mild enlargement cardiac silhouette Troponin: negative Echo: Mild left ventricular hypertrophy Mild apical hypokinesis EF 40% Cardiac SPECT: Apical-lateral scar with associated hypokinesis No reversible perfusion defect PCI Normal coronary arteries. Apical aneurysm. Ejection fraction of 40%. Give your opinion on the case.

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This cass is classical case of microangiopathy leading to cardiomyopathy ..or ideopathic cardiomypathy The repeated arrhythmia can b controlled very well with betablockers and ace inhibitors

Do we have any study regarding flavidon MR, any study , please share with me

Abnormally thin myocardium of the inferior and lateral walls of the left ventricle associated with and enlarged network of trabeculae carne and deep endothelial recesses

Could be: Idiopathic cardiomyopathy • Ventricular aneurysm • Noncompaction

Ischemic cardiomyopathy

Additional all folic acid Flavedon mr Homocheck B 12 Vit d3 may add little benifit

Ischemic cardiomyopathy

Dear gautam Anything that cause ischemic pathology ffavedin mt tmz incrase the atp production in muscle cells to increase d contractakity Acutual actiin tajes place in mitochondria Along with other drugs coq 10 may help

LVF with ischmic cardiomyopathy

Ventricular tachycardia a/w cardiomyopathy..most likely post ischemic


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