Resolution of ventricular tachycardia and endocardial tuberculoma following antituberculosis therapy.
A 23-year-old woman presented with sustained ventricular tachycardia and was found to have an endocardial mass by echocardiography and by magnetic resonance imaging. The diagnosis of cardiac endocardial tuberculoma was made, and she was treated with antituberculous therapy and an antiarrhythmic drug for one year. After a year, the mass was no longer present, and with all antiarrhythmic medications stopped, ventricular tachycardia could no longer be induced by electrophysiologic study. There has been no clinical recurrence.
Department of Medicine, Baylor College of Medicine, Ben Taub General Hospital, Methodist Hospital, Houston.
P G
PG
O'Neill
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R
Rokey
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S
Greenberg
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A
Pacifico
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use*; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D012074:Remission Induction; D013610:Tachycardia / Q000188:drug therapy* / Q000209:etiology; D014381:Tuberculosis, Cardiovascular / Q000150:complications / Q000188:drug therapy*
D000995:Antitubercular Agents