You are probably getting extremely tired seeing one cardiologyarticle after an other . However ,this JACC State-of-the-Art Review on Arrhythmia -Induced Cardiomyopathy, I thought was very important as it is a diagnosis seen not just in the CCU but also the MICU. The concept of a cardiomyopathy causing ventricular arrhythmia is nothing new. The reverse pathophysiology is actually very interesting. If you see a patient with atrial fibrillation with chronically uncontrolled rate mostly due to noncompliance or a patient with very frequent ventricular extrasystole, you have to think HFrEF. Below you will find the Central Figure, Abstract and links to the MP3 summary and actual article.
- • Tachycardias, AF, and PVCs are known to trigger a reversible dilated CM.
- • AiCM should be highly suspected in patients without an obvious etiology.
- • Ambulatory ECG monitors are key to screen and properly diagnose AiCM.
- • Reversal of CM by elimination of arrhythmia not only confirms the diagnosis but may significantly improve outcomes.
Podcast 📌
This a good review article from Circulation
No comments:
Post a Comment