Myocarditis with long-standing uncontrolled ventricular tachycardia
치료에 반응하지 않은 심실빈맥이 장기간 지속된 심근염
Bujongmaek, 12(4):47-51, 2011
Bujongmaek; Official journal of Korean Society of Cardiac Arrhythmia; 부정맥
Myocarditis has a wide range of symptoms, ranging from mild chest pain and dyspnea to cardiogenic shock and death. We encountered a case of fatal myocarditis with various arrhythmia, including uncontrolled ventricular tachycardia (VT), a high degree atrioventricular block with a long pause, and a complete atrioventricular block. The patient had deteriorated even though conservative heart failure therapy, antiarrhythmic drugs, and pacing therapy were given. Long-lasting and various types of VT in patients with myocarditis might reveal an electrically unstable status of the myocardium due to extensive invasion of myocarditis. In the case of fatal myocarditis, an aggressive medical approach that includes immune therapy sometimes seems needed.
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