Abstract
Significant left ventricular (LV) dysfunction resulting from chronic uncontrolled tachycardia represents a diagnostic dilemma. In patients with a depressed LV function and tachycardia, the tachycardia may have developed as a consequence of a cardiomyopathy or may be the cause of the LV dysfunction [1-3]. In this report we demonstrate that intractable atrial fibrillation (AF) may be associated with LV dysfunction, and that closed-chest catheter ablation, by modifying conduction in the atrioventricular node, may be of therapeutic value.
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References
Engel TR, Bush CA, Schaal SF: Tachycardia aggravated heart disease. Ann Intern Med 80: 384–388, 1974.
Keane JF, Plauth WH, Nadas AS: Chronic ectopic tachycardia of infancy and childhood. Am Heart J 84: 748–757, 1972.
Clairborne TS: Auricular tachycardia with atrioventricular block of 12 years duration in a 16 year old girl. Am Heart J 44: 444–450, 1950.
Packer DL, Bardy GH, Worley SJ, Smith MS, Cobb FR, Coleman E, Gallagher JL, German LD: Tachycardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction. Am J Cardiol 57: 563–570, 1984.
References
Coumel P, Leclercq JF, Zimmerman M: Antiarrhythmic therapy: Non-invasive guided strategy empirical or invasive strategies. In Brugada P, Wellens HJJ (eds.), Cardiac arrhythmias: Where to go from here? Mount Kisco, Futura Publishing Company, New York 1987, 403–420.
Lemery R, Brugada P, Cheriex E, Wellens HJJ: Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catheter ablation of the atrioventricular junction for intractable atrial fibrillation. Am J Cardiol 60: 1406–1408, 1987.
Cruz FES, Cheriex EC, Smeets JLRM, Atié J, Peres AK, Penn OCKM, Brugada P, Wellens HJJ: Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia. J Am Coll Cardiol 16: 739–744, 1990.
Brugada P: Chagas’ disease and tachycardiamyopathy (edito-rial). Arq Bras Cardiol 56, 5–7, 1991.
Wellens HJJ, Rodriguez L-M, Smeets JLRM, Cheriex EC, den Dulk K: Tachycardiomyopathy in patients with supraventricular tachycardia. In Kingma JH, van Hemel NM, Lie KI (eds.), Atrial fibrillation, a treatable disease? Kluwer Academic Publishers, Dordrecht, the Netherlands 1992, pp. 183–193.
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Lemery, R., Brugada, P., Cheriex, E., Wellens, H.J.J. (2000). Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catheter ablation of the atrioventricular function for intractable atrial fibrillation. In: Smeets, J.L.R.M., Doevendans, P.A., Josephson, M.E., Kirchhof, C., Vos, M.A. (eds) Professor Hein J.J. Wellens. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4110-9_36
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DOI: https://doi.org/10.1007/978-94-011-4110-9_36
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