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.

1 Like

LikeAnswersShare

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
0

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

ISCHAEMIC CARDIOMYOPATHY

Load more answers