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All Journal Indonesian Journal of Cardiology Heart Science Journal
Djanggan Sargowo
Brawijaya University
Health Professions Immunology & microbiology Medicine & Pharmacology

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Journal : Heart Science Journal

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Cardiomyopathy and Frequent Monomorphic PVC : Which One Comes First? Anita Surya Santoso; Djanggan Sargowo; Ardian Rizal
Heart Science Journal Vol 3, No 3 (2022): Cardiovascular Disease in Young Adulthood: Who, When, and How to Screen?
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2022.003.03.8

Abstract

A 28-year-old male wasaadmittedto hospitalwwith chief complaint chestadiscomfort. There were symptoms of dyspnea on effort and palpitation before. He had a history of alcoholics for more than five years. The ECG showed frequent Premature Ventricular Complex (PVC) and recommended to have ambulatory Holter monitoring with conclusion frequent monomorphic right ventricle outflow tract (RVOT) origin PVC. Echocardiography indicated a decrease in left ventricular (LV) function, LV dilatation, and global hypokinetic. Cardiac Magnetic Resonance Imaging (CMR) was performed, and there was no “edema”and myocardium fibrosis. It is essential to analyze which comes first, arrhythmia induced cardiomyopathy (AIC), or cardiomyopathy induced arrhythmia to have direct treatment. From the collected data, we conclude that the frequent RVOT origin PVC induced cardiomyopathy and catheter ablation is the definitive therapy.
Co-Authors Anita Surya Santoso Ardian Rizal Askandar Tjokroprawiro Rasjad Indra Retno Susilowati Sri Widyarti