Ventricular tachycardia in acute fulminant myocarditis

Medical management and follow-up

J. R. Sharma, Shyam Sathanandam, S. P. Rao, S. Acharya, V. Flood

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The combination of ventricular tachycardia (VT) and severe left ventricular dysfunction presents a serious challenge in management of acute fulminant myocarditis (AFM). We report a case of a 17-month-old girl with AFM, presented with hypotension and VT, successfully treated with respiratory and inotropic support, high-dose intravenous immunoglobulin, and amiodarone. The myocardial function improved significantly within 2 weeks of treatment. The clinical course was complicated by significant amiodarone-induced hepatotoxicity, disseminated intravascular coagulation, and deep-vein thrombosis. She was later diagnosed with congenital dysfibrinogenemia and treated with chronic Lovenox therapy.

Original languageEnglish (US)
Pages (from-to)416-419
Number of pages4
JournalPediatric Cardiology
Volume29
Issue number2
DOIs
StatePublished - Mar 1 2008

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Amiodarone
Myocarditis
Ventricular Tachycardia
Enoxaparin
Disseminated Intravascular Coagulation
Intravenous Immunoglobulins
Left Ventricular Dysfunction
Venous Thrombosis
Hypotension
Therapeutics
Congenital Dysfibrinogenemia

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Ventricular tachycardia in acute fulminant myocarditis : Medical management and follow-up. / Sharma, J. R.; Sathanandam, Shyam; Rao, S. P.; Acharya, S.; Flood, V.

In: Pediatric Cardiology, Vol. 29, No. 2, 01.03.2008, p. 416-419.

Research output: Contribution to journalArticle

Sharma, J. R. ; Sathanandam, Shyam ; Rao, S. P. ; Acharya, S. ; Flood, V. / Ventricular tachycardia in acute fulminant myocarditis : Medical management and follow-up. In: Pediatric Cardiology. 2008 ; Vol. 29, No. 2. pp. 416-419.
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