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Ishiguro N, Kato K, Goto H, Kametani R. Successful chemical ablation of refractory ventricular tachycardia from the left ventricular summit using the double balloon technique with chronic total occlusion percutaneous coronary intervention techniques. HeartRhythm Case Rep 2024; 10:58-62. [PMID: 38264102 PMCID: PMC10801000 DOI: 10.1016/j.hrcr.2023.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024] Open
Affiliation(s)
- Nobuo Ishiguro
- Department of Cardiology, Nagoya Tokushukai General Hospital, Kasugai, Japan
| | - Kazuo Kato
- Department of Cardiology, Nagoya Tokushukai General Hospital, Kasugai, Japan
| | - Hiroko Goto
- Department of Cardiology, Nagoya Tokushukai General Hospital, Kasugai, Japan
| | - Ryosuke Kametani
- Department of Cardiology, Nagoya Tokushukai General Hospital, Kasugai, Japan
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Yoshida R, Sakaguchi H, Kato Y, Kurosaki K. Case report: high-dose carvedilol as a potential key drug for arrhythmias in histiocytoid cardiomyopathy. Eur Heart J Case Rep 2023; 7:ytad588. [PMID: 38089118 PMCID: PMC10711429 DOI: 10.1093/ehjcr/ytad588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 11/09/2023] [Accepted: 11/22/2023] [Indexed: 03/06/2024]
Abstract
Background Histiocytoid cardiomyopathy is a rare infancy cardiac disorder manifesting as severe cardiac arrhythmias or dilated cardiomyopathy. There is no specific treatment for these arrhythmias. This is the first report of infantile histiocytoid cardiomyopathy whose refractory ventricular arrhythmias were successfully controlled by high-dose carvedilol. Case summary A 4-month-old girl presented with asystole, and recurrent ventricular tachycardias. From the histological findings and clinical symptoms, she was diagnosed as histiocytoid cardiomyopathy. Sedatives were the most effective therapy for her arrhythmia, but the cardiac sympathetic denervation was not effective enough. Finally, her ventricular arrhythmias were controlled with high-dose carvedilol, and she was discharged on hospitalization Day 393. Discussion Carvedilol is the only beta blocker that directly acts on the ryanodine receptor (RyR2) and inhibits store-overload-induced Ca2+ release (SOICR) in myocardium at high dosage. The arrhythmias did not disappear with bisoprolol, landiolol, or verapamil, but high-dose carvedilol was effective. This clinical course suggested that the arrhythmias in histiocytoid cardiomyopathy might be related with SOICR. High-dose carvedilol might be a key drug for patients with histiocytoid cardiomyopathy.
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Affiliation(s)
- Rei Yoshida
- Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center Hospital, 6-1 Kishibeshimmachi, Suita, 5648565 Osaka, Japan
| | - Heima Sakaguchi
- Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center Hospital, 6-1 Kishibeshimmachi, Suita, 5648565 Osaka, Japan
| | - Yoshiaki Kato
- Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center Hospital, 6-1 Kishibeshimmachi, Suita, 5648565 Osaka, Japan
| | - Kenichi Kurosaki
- Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center Hospital, 6-1 Kishibeshimmachi, Suita, 5648565 Osaka, Japan
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Amino M, Kabuki S, Kunieda E, Yagishita A, Ikari Y, Yoshioka K. Analysis of depolarization abnormality and autonomic nerve function after stereotactic body radiation therapy for ventricular tachycardia in a patient with old myocardial infarction. HeartRhythm Case Rep 2021; 7:306-311. [PMID: 34026521 PMCID: PMC8134781 DOI: 10.1016/j.hrcr.2021.01.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
- Mari Amino
- Department of Cardiology, Tokai University, Isehara, Japan.,National Institute for Quantum and Radiological Science and Technology, QST Hospital, Inage, Japan
| | - Shigeto Kabuki
- Department of Radiation Oncology, Tokai University, Isehara, Japan
| | - Etsuo Kunieda
- Department of Radiation Oncology, Tokai University, Isehara, Japan
| | | | - Yuji Ikari
- Department of Cardiology, Tokai University, Isehara, Japan
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Hermes-Laufer J, Meyer M, Rudiger A, Henze J, Enselmann K, Kupferschmidt H, Müller D, Herzog A, Bettex D, Keller DI, Krüger B, Engeler J. Extracorporeal life support as bridge to recovery in yew poisoning: case reports and literature review. ESC Heart Fail 2020; 8:705-709. [PMID: 33232574 PMCID: PMC7835583 DOI: 10.1002/ehf2.12828] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 04/28/2020] [Accepted: 05/21/2020] [Indexed: 12/21/2022] Open
Abstract
Aims This short communication aims to review the treatment of cardiogenic shock in patients with yew poisoning based on two case reports from our institution, focusing on the use of extracorporeal life support (ECLS). Methods and results We report two cases of Taxus baccata poisoning treated with ECLS at our institution and review the literature based on a search in PubMed and Google Scholar on the topic of yew poisoning and ECLS. All cases were combined for analysis of demographics, ECLS therapy, and outcome. Case 1: A 35‐year‐old woman developed polymorphic ventricular tachycardia followed by cardiovascular arrest 5 h after orally ingesting a handful of yew needles. Successful resuscitation required ECLS for 72 h due to ongoing cardiac arrhythmias and cardiogenic shock. The patient left the hospital without neurological sequelae after 10 days. Case 2: A 30‐year‐old woman developed refractory cardiac arrhythmias and circulatory arrest. Resuscitation included ECLS for 71 h. T. baccata needles found by gastroscopy confirmed the diagnosis. The patient had no neurologic deficits and was transferred to psychiatry after 11 days. Review of the literature: Nine case reports were found and analysed along with our two cases. Five out of the 11 (45%) patients were female. Median (range) age was 28 (19–46) years. T. baccata needles were ingested with a suicidal intention in all patients. Median (range) duration of ECLS was 70 h (24–120 h). Eight (73%) patients had full neurological recovery. Conclusions Yew poisoning is a differential diagnosis in young psychiatric patients presenting with polymorphic ventricular tachycardia and cardiogenic shock. A characteristic cardiac contraction pattern in echocardiography may present a diagnostic clue. The early use of ECLS is a valuable bridge to recovery in most of these patients.
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Affiliation(s)
- Julia Hermes-Laufer
- Institute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.,Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
| | - Martin Meyer
- Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland
| | - Alain Rudiger
- Institute of Anaesthesiology, University Hospital Zurich, Zurich, Switzerland.,University of Zurich, Zurich, Switzerland
| | - Julian Henze
- Emergency Department, University Hospital Zurich, Zurich, Switzerland
| | - Kai Enselmann
- Emergency Department, University Hospital Zurich, Zurich, Switzerland
| | - Hugo Kupferschmidt
- National Poisons Information Centre, Tox Info Suisse, Associated Institute of the University of Zurich, Zurich, Switzerland
| | - Daniel Müller
- Institute of Clinical Chemistry, University Hospital Zurich, Zurich, Switzerland
| | - Aline Herzog
- Emergency Department, University Hospital Zurich, Zurich, Switzerland
| | - Dominique Bettex
- Institute of Anaesthesiology, University Hospital Zurich, Zurich, Switzerland.,University of Zurich, Zurich, Switzerland
| | - Dagmar I Keller
- Emergency Department, University Hospital Zurich, Zurich, Switzerland
| | - Bernard Krüger
- Institute of Anaesthesiology, University Hospital Zurich, Zurich, Switzerland
| | - Judith Engeler
- Emergency Department, University Hospital Zurich, Zurich, Switzerland
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Theodore J, Saggu DK, Yalagudri S, Kishore J, Devidutta S, Narasimhan C. Management of refractory ventricular tachycardia due to cardiac sarcoidosis-A biologic approach. HeartRhythm Case Rep 2018; 5:97-100. [PMID: 30820406 PMCID: PMC6379564 DOI: 10.1016/j.hrcr.2018.11.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Joseph Theodore
- Division of Cardiac Electrophysiology, CARE Hospital, Hyderabad, India
| | | | - Sachin Yalagudri
- Division of Cardiac Electrophysiology, CARE Hospital, Hyderabad, India
| | - Jugal Kishore
- Department of Rheumatology, CARE Hospital, Hyderabad, India
| | - Soumen Devidutta
- Division of Cardiac Electrophysiology, CARE Hospital, Hyderabad, India
| | - Calambur Narasimhan
- Division of Cardiac Electrophysiology, CARE Hospital, Hyderabad, India
- Address reprint requests and correspondence: Dr Calambur Narasimhan, Department of Cardiology, CARE Hospital, Rd No. 1, Banjara Hills, Hyderabad 500034, Telangana, India.
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