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- W2204080649 abstract "A 51-year-old black man without a personal or family history of cardiovascular disease was admitted to our hospital following syncope. Of note, he reported several episodes of chest pain and palpitations with lipothymia in the past few years associated with progressive dyspnea reaching New York Heart Association class II. ECG showed negative T waves in the precordium (V3 through V4) without significant ST deviation, monomorphic ventricular ectopies of septal origin with bursts of rapid polymorphic ventricular tachycardia, and mild first-degree atrioventricular (AV) block (Figure 1).Figure 1. A , ECG on admission showing negative T waves in the precordium (V3 to V4) without significant ST deviation, polymorphic narrow ventricular ectopies, and mild first-degree atrioventricular block. After β-blocker therapy was initiated, the patient was monitored showing a lengthening or PR interval. B , The patient received corticosteroid treatment with complete LV ejection fraction recovery at 3 months and partial conduction recovery with grade I AV block. AV indicates atrioventricular; and LV, left ventricular.Clinical examination and chest radiography were normal. Laboratory tests showed mildly elevated ultrasensitive troponin at 36 ng/mL, normal blood cell count, and C-reactive protein. Transthoracic echocardiography found interventricular septal hypertrophy (25 mm) without left ventricular (LV) dilatation or regional wall motion abnormality and no pericardial effusion, and the diagnosis of hypertrophic cardiomyopathy was suspected at the first step. β-Blocker therapy was initiated and the patient was monitored showing severe lengthening of the PR interval (Figure 1). Cardiac MRI found atypical and severe concentric right ventricular (RV) hypertrophy with diffuse elevation of myocardial signal on T2-weighted short tau inversion recovery images (Figure 2 Movies I and II in the online-only Data Supplement), and severe RV free wall hypokinesia along with global asynchrony of RV contraction. The LV ejection fraction was confirmed normal, whereas the RV ejection fraction was markedly impaired …" @default.
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- W2204080649 date "2015-10-06" @default.
- W2204080649 modified "2023-09-26" @default.
- W2204080649 title "Right Ventricular Hypertrophy Along With Malignant Ventricular Arrhythmias" @default.
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- W2204080649 doi "https://doi.org/10.1161/circulationaha.114.014214" @default.
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