Öz
Miyokardit, miyokard dokusunda iskemik olmayan nekroz ile
ilişkili miyokard ödemi olarak tanımlanır. Akut viral miyokardit, çeşitli
elektrokardiyografik değişikliklere neden olabilir. Bunlar, iletim
bozuklukları, repolarizasyon düzensizlikleri, ventriküler ektopik atımlar ve
ventriküler taşikardidir. “Torsade de pointes”, QT aralığının uzamasıyla
ilişkili malign ventriküler bir aritmidir. Bu yazıda Torsade de pointes ve ani
kalp durması gelişen miyokardit olgusu sunulmaktadır.
Anahtar Kelimeler
Ventriküler taşikardi ani ölüm elektrokardiyografi Torsade de pointes miyokardit .
Kaynakça
- Caforio AL, Pankuweit S, Arbustini E, Basso C, Gimeno-Blanes J, Felix SB, et al: Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J 2013;34(33):2636-2648.
- Lieberman EB, Hutchins GM, Herskowitz A, Rose NR, Baughman KL. Clinicopathologic description of myocarditis. J Am Coll Cardiol. 1991;18(7):1617-1626.
- Caforio, A. L., Marcolongo, R., Basso, C., Iliceto, S. Myocarditis. Clinical presentation and diagnosis of myocarditis. Heart 2015;101(16):1332-1344.
- Casali MB, Lazzaro A, Gentile G, Blandino A, Ronchi E, Zoja R. Forensic grading of myocarditis: an experimental contribution to the distinction between lethal myocarditis and incidental myocarditis. Forensic Sci Int 2012;223(1-3):78-86.
- Yang F, Wu WF, Yan YL, Pang Y, Kong Q, Huang YL. Expression of IL-23/ Th17 pathway in a murine model of Coxsackie virus B3-induced viral myocarditis. Virol J 2011;8:301.
- Magnani JW, Dec GW. Myocarditis: current trends in diagnosis and treatment. Circulation 2006;113(6):876-890.
- Cooper LT Jr. Myocarditis. N Engl J Med 2009;360(15):1526-1538.
- Zeppenfeld K, Blom NA, Bootsma M, Schalij MJ. Incessant ventricular tachycardia in fulminant lymphocytic myocarditis: evidence for origin in the Purkinje system and successful treatment with ablation. Heart Rhythm 2007;4(1):88-91.
- Veronese G, Ammirati E, Cipriani M, Frigerio M. Fulminant myocarditis: Characteristics, treatment, and outcomes. Anatol J Cardiol 2018;19(4):279-286.
- Konapur PG, Daded AV, Udaykumar M. Idiopathic giant cell myocarditis: a case report and review of the literature. Indian Journal of Pathology and Microbiology 2003;46:241-243.
Öz
Myocarditis is defined as myocardial edema
associated with non-ischemic necrosis in myocardial tissue. Acute viral
myocarditis may cause several electrocardiographic changes. These include
conduction disturbances, disorders of repolarization, ventricular ectopic
beats, and ventricular tachycardia. “Torsade de pointes” is a malignant
ventricular arrhythmia associated with prolongation of the QT interval. In this
report, we present a case with myocarditis that developed Torsade de pointes
and sudden cardiac arrest.
Anahtar Kelimeler
Ventricular tachycardia sudden death electrocardiography Torsade de pointes myocarditis.
Kaynakça
- Caforio AL, Pankuweit S, Arbustini E, Basso C, Gimeno-Blanes J, Felix SB, et al: Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J 2013;34(33):2636-2648.
- Lieberman EB, Hutchins GM, Herskowitz A, Rose NR, Baughman KL. Clinicopathologic description of myocarditis. J Am Coll Cardiol. 1991;18(7):1617-1626.
- Caforio, A. L., Marcolongo, R., Basso, C., Iliceto, S. Myocarditis. Clinical presentation and diagnosis of myocarditis. Heart 2015;101(16):1332-1344.
- Casali MB, Lazzaro A, Gentile G, Blandino A, Ronchi E, Zoja R. Forensic grading of myocarditis: an experimental contribution to the distinction between lethal myocarditis and incidental myocarditis. Forensic Sci Int 2012;223(1-3):78-86.
- Yang F, Wu WF, Yan YL, Pang Y, Kong Q, Huang YL. Expression of IL-23/ Th17 pathway in a murine model of Coxsackie virus B3-induced viral myocarditis. Virol J 2011;8:301.
- Magnani JW, Dec GW. Myocarditis: current trends in diagnosis and treatment. Circulation 2006;113(6):876-890.
- Cooper LT Jr. Myocarditis. N Engl J Med 2009;360(15):1526-1538.
- Zeppenfeld K, Blom NA, Bootsma M, Schalij MJ. Incessant ventricular tachycardia in fulminant lymphocytic myocarditis: evidence for origin in the Purkinje system and successful treatment with ablation. Heart Rhythm 2007;4(1):88-91.
- Veronese G, Ammirati E, Cipriani M, Frigerio M. Fulminant myocarditis: Characteristics, treatment, and outcomes. Anatol J Cardiol 2018;19(4):279-286.
- Konapur PG, Daded AV, Udaykumar M. Idiopathic giant cell myocarditis: a case report and review of the literature. Indian Journal of Pathology and Microbiology 2003;46:241-243.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Haziran 2019 |
| Gönderilme Tarihi | 27 Şubat 2019 |
| Yayımlandığı Sayı | Yıl 2019 |
SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır