title: Ventricular fibrillation in two cases with dilated cardiomyopathy and mechanical alternans.
abstract: Clinical implication of mechanical alternans is yet unclear. It may suggest the risk for sudden death in patients with chronic heart failure. Two cases with dilated cardiomyopathy showed mechanical alternans during diagnostic cardiac catheterization. They suddenly died due to ventricular fibrillation before the induction of beta-blocker therapy. Patients with mechanical alternans should be treated under intense monitoring until the induction of beta-blocker therapy.
authors.affiliation: Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata City, Japan. kodamama@med.niigata-u.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Kodama
authors.forename: Mahmoud M
authors.initials: MM
authors.lastname: Ramadan
authors.forename: Wataru
authors.initials: W
authors.lastname: Mitsuma
authors.forename: Kazuki
authors.initials: K
authors.lastname: Okamura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kashimura
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Tachikawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ito
authors.forename: Koichi
authors.initials: K
authors.lastname: Fuse
authors.forename: Satoru
authors.initials: S
authors.lastname: Hirono
authors.forename: Yuji
authors.initials: Y
authors.lastname: Okura
authors.forename: Kiminori
authors.initials: K
authors.lastname: Kato
authors.forename: Haruo
authors.initials: H
authors.lastname: Hanawa
authors.forename: Kenichi
authors.initials: K
authors.lastname: Watanabe
authors.forename: Yoshifusa
authors.initials: Y
authors.lastname: Aizawa
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D004562:Electrocardiography; D017809:Fatal Outcome; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology*