Recovery of systolic and diastolic function after ablation of incessant supraventricular tachycardia.
We report a case of a 26-year-old woman who presented to our hospital with arrhythmia and heart failure. She had an incessant supraventricular tachycardia, which was not reversible with electrical cardioversion. Echocardiogram showed a severe LV systolic and diastolic dysfunction. After radiofrequency catheter ablation, LV function returned to normal. This article is intended to show a case with tachycardiomyopathy, which is considered the most frequently unrecognized curable cause of heart failure, and to demonstrate that early treatment allows the recovery to a normal LV systolic and diastolic function, preventing irreversible structural cardiac damage. It is very likely that some patients with idiopathic dilated cardiomyopathy and chronic atrial fibrillation or other chronic arrhythmia actually have a curable tachycardiomyopathy.
Salemi
Vera Maria Cury
VM
Myocardiopathies Unit, Department of Cardiology, Heart Institure (InCor), University of Sao Paulo Medical School, Brazil. verasalemi@uol.com.br
Arteaga
Edmund
E
Mady
Charles
C
D000328:Adult; D017115:Catheter Ablation; D003971:Diastole; D005260:Female; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology*; D020127:Recovery of Function; D013599:Systole; D013617:Tachycardia, Supraventricular / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000503:physiopathology*