Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.

<strong>Background</strong>: Left ventricular dysfunction induced by long-standing recurrent tachyarrhythmias, known as tachycardia-induced cardiomyopathy, is a reversible type of dilated cardiomyopathy and heart failure characterized by left ventricular failure that is usually recoverab...

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Main Author: Amar Alhamdi
Format: Article
Language:English
Published: University of Basrah 2020-06-01
Series:The Medical Journal of Basrah University
Subjects:
Online Access:https://mjbu.uobasrah.edu.iq/article_165391_6c524ca0e74e635b66f3db12572c9cbf.pdf
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spelling doaj-bf452184f77a4c7cacd214feb50f4a002020-11-25T03:12:30ZengUniversity of BasrahThe Medical Journal of Basrah University 0253-07592413-44142020-06-01381677910.33762/mjbu.2020.165391165391Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.Amar Alhamdi0Cardiologist and Electrophysiologist, Sulaimanya, KRG, Iraq<strong>Background</strong>: Left ventricular dysfunction induced by long-standing recurrent tachyarrhythmias, known as tachycardia-induced cardiomyopathy, is a reversible type of dilated cardiomyopathy and heart failure characterized by left ventricular failure that is usually recoverable once the tachyarrhythmia is well controlled by stabilizing the sinus rhythm or by heart rate control.<br /> <strong>Patients and methods</strong>: Twenty four patients with heart failure due to dilated cardiomyopathy and tachyarrhythmia were included. The arrhythmia and heart failure were both treated accordingly. The New York Heart Association’sfunctional class, left ventricular ejection fraction assessment and chest X-ray were done periodically to assess improvement.<br /> <strong>Results:</strong>  Stabilization of the sinus rhythm was achieved in all patients. The NYHA class improved remarkably, from class III-IV to class I in all patients. The left ventricular ejection fraction rose remarkably from 20-30% to 45-57%. The cardiac size remarkably improved radiologically. The symptoms of recurrent long-standing palpitation preceding the symptoms of dyspnea in heart failure are the first implication that arrhythmia is inducing the heart failure this was noticed in 20 patients.<br /> <strong>Conclusion</strong>: Tachycardia-induced cardiomyopathy is a reversible cause of heart failure. Controlling the arrhythmia recovers normal LV function.https://mjbu.uobasrah.edu.iq/article_165391_6c524ca0e74e635b66f3db12572c9cbf.pdftachycardiacardiomyopathycases
collection DOAJ
language English
format Article
sources DOAJ
author Amar Alhamdi
spellingShingle Amar Alhamdi
Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
The Medical Journal of Basrah University
tachycardia
cardiomyopathy
cases
author_facet Amar Alhamdi
author_sort Amar Alhamdi
title Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
title_short Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
title_full Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
title_fullStr Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
title_full_unstemmed Tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: Review of case series.
title_sort tachycardia-induced cardiomyopathy, a diagnosis forgotten in the real world: review of case series.
publisher University of Basrah
series The Medical Journal of Basrah University
issn 0253-0759
2413-4414
publishDate 2020-06-01
description <strong>Background</strong>: Left ventricular dysfunction induced by long-standing recurrent tachyarrhythmias, known as tachycardia-induced cardiomyopathy, is a reversible type of dilated cardiomyopathy and heart failure characterized by left ventricular failure that is usually recoverable once the tachyarrhythmia is well controlled by stabilizing the sinus rhythm or by heart rate control.<br /> <strong>Patients and methods</strong>: Twenty four patients with heart failure due to dilated cardiomyopathy and tachyarrhythmia were included. The arrhythmia and heart failure were both treated accordingly. The New York Heart Association’sfunctional class, left ventricular ejection fraction assessment and chest X-ray were done periodically to assess improvement.<br /> <strong>Results:</strong>  Stabilization of the sinus rhythm was achieved in all patients. The NYHA class improved remarkably, from class III-IV to class I in all patients. The left ventricular ejection fraction rose remarkably from 20-30% to 45-57%. The cardiac size remarkably improved radiologically. The symptoms of recurrent long-standing palpitation preceding the symptoms of dyspnea in heart failure are the first implication that arrhythmia is inducing the heart failure this was noticed in 20 patients.<br /> <strong>Conclusion</strong>: Tachycardia-induced cardiomyopathy is a reversible cause of heart failure. Controlling the arrhythmia recovers normal LV function.
topic tachycardia
cardiomyopathy
cases
url https://mjbu.uobasrah.edu.iq/article_165391_6c524ca0e74e635b66f3db12572c9cbf.pdf
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