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Case Reports
. 1985 Mar;53(3):323-7.
doi: 10.1136/hrt.53.3.323.

Tachycardia induced myocardial dysfunction. A reversible phenomenon?

C J McLaran, B J Gersh, D D Sugrue, S C Hammill, J B Seward, D R Holmes Jr
Case Reports

Tachycardia induced myocardial dysfunction. A reversible phenomenon?

C J McLaran et al. Br Heart J. 1985 Mar.

Abstract

Four patients with myocardial dysfunction related to tachycardia underwent electrophysiological studies, which showed a re-entrant supraventricular tachycardia using an accessory atrioventricular connexion. Serial assessment of left ventricular function by echocardiography before and after control of the tachycardia indicated a variable degree of reversibility. Endomyocardial biopsy in two patients detected non-specific histological changes. Because of the possible role of ischaemia in this condition effective control of prolonged tachycardia is needed to prevent deterioration of myocardial function.

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