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Gepubliceerd in:

01-12-2009 | original article

Left ventricular aneurysm in patients with idiopathic dilated cardiomyopathy: clinical analysis of six cases

Auteurs: Shudong Xia, Bifeng Wu, Xiaolian Zhang, Xiaosheng Hu

Gepubliceerd in: Netherlands Heart Journal | Uitgave 12/2009

Abstract

Background. Left ventricular aneurysm (LVA) in patients with idiopathic dilated cardiomyopathy (IDCM) is rarely reported, and the incidence, pathogenesis and clinical features of LVA in IDCM are poorly understood.

Methods. The diagnosis of IDCM with LVA formation was made in six patients between January 2003 and September 2008. Left ventriculography, coronary angiography, echocardiogram and electrocardiogram were performed in all patients. The hospital records of these patients with IDCM in our hospital and related literature were reviewed.

Results. LVA was located at the posterobasal wall in five patients and at the anterolateral wall in one patient. Two patients had abnormal Q waves and no patients had sustained ST-segment elevation on electrocardiogram. No significant coronary stenosis or mural thrombi was detected in these patients. All patients had severe ventricular arrhythmia, such as frequent multifocal ventricular premature contractions and ventricular tachycardia.

Conclusion. IDCM could be a rare cause of LVA. The LVA in IDCM was mainly located at the posterobasal wall. It was seldom accompanied by abnormal Q waves and sustained ST-segment elevation. The pathogenesis of LVA in IDCM seems to be less likely to be related to coronary emboli. Ventricular arrhythmia occurred frequently in these patients. (Neth Heart J 2009;17:475–80.)

vorige artikel Reduced regional myocardial perfusion reserve is associated with impaired contractile performance in idiopathic dilated cardiomyopathy

volgende artikel The importance of cardiac MRI as a diagnostic tool in viral myocarditis-induced cardiomyopathy

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Titel: Left ventricular aneurysm in patients with idiopathic dilated cardiomyopathy: clinical analysis of six cases
Auteurs: Shudong Xia
Bifeng Wu
Xiaolian Zhang
Xiaosheng Hu
Publicatiedatum: 01-12-2009
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 12/2009
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/BF03086307

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