Title: Effective CRT-D Therapy for End-Stage of Dilated Cardiomyopathy Associated With Polymyositis: Report of a Case
Abstract: The patient is a 63-year-old man with a 17-year of clinical history of polymyositis. At the age of 46-year-old, he was firstly admitted to our hospital because of paroxysmal common atrial flutter with weakness of proximal muscular tonus in his extremities. Blood chemistry data showed markedly elevated CPK, and he received radiofrequency catheter ablation. Diagnosis of polymyositis was proved by the skeletal muscular biopsy at the age of 52-year-old. On the same time, oral treatment of Amiodarone was started for ventricular tachycardia. However amiodarone should have withdrawn due to elevated KL-6. When he was 53-year-old, he received DDD pacemaker implantation for the 3 seconds of sinus pause due to SSS. The left ventricular pump failure due to asynchronous wall motion dynamics has been slowly progressive with association of fatal VT, and then he has recently received CRT-D.
Publication Year: 2010
Publication Date: 2010-09-01
Language: en
Type: article
Indexed In: ['crossref']
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