Sick sinus syndrome in a patient with extensive cardiac lipomatosis (sinus node dysfunction in lipomatosis).
We present a case of a 45-year-old man with an incidental and longstanding diagnosis of extensive mediastinal and cardiac lipomatosis. Along the years, he had experienced various arrhythmias, mainly bradyarrhythmias, mostly asymptomatic. Recently after documenting a sinus pause of 6 seconds and runs of nonsustained ventricular tachycardias, he underwent an implantation of a cardioverter-defibrillator. There are many reports of cardiac lipomatosis in the literature, including reports of related ventricular arrhythmias, some of which are fatal. (PACE 2010; 513-515).
Department of Cardiology, Rabin Medical Center, Beilinson Hospital, Petah Tikva, affiliated with the Sackler School of Medicine, Tel Aviv University, Petah Tikva, Israel. udikadmon@gmail.com
Ehud
E
Kadmon
Rami
R
Paz
Jairo
J
Kusniec
Boris
B
Strasberg
D001919:Bradycardia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017147:Defibrillators, Implantable; D006801:Humans; D008068:Lipomatosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012804:Sick Sinus Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017180:Tachycardia, Ventricular / Q000473:pathology / Q000628:therapy*