[SCD-FORUM] 101E RE: Case: Male, 29yrs. Dr. Zhu

[SCD Symposium]

Except ICD we will have no other way to help him, right?  I mean if  
he doesn’t have enough money, then what we can do for him?  He is  
only 29,

Dr. Zhu

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committe


>
> The patient might be ARVD, and ICD implantation might be required.
>
>
>
>
>>
>> Case: Male, 29yrs
>>
>> Illness history: Viral myocarditis was diagnosed based on  
>> premature ventricular contractions (PVCs) at age 8 after an  
>> influenza attack. Since then, PVBs never disappeared and right  
>> ventricle enlargement had been noticed.
>>
>> ECG revealed VT lasting 3 minutes at age 19, accompanied with  
>> faintness. After 2-3 years, no VT reoccurred.
>>
>> The second VT episode was recorded at age 21 lasting 2-3 hrs  
>> accompanied with syncope. Intravenous propafenon worked. Oral  
>> administration of propafenon could not prevent the patient from VT  
>> attack.
>>
>> RFCA for VT had been delivered twice at age 22~23 by Pro. Yang at  
>> the first affiliated Hospital of Dalian medical university. During  
>> RFCA, VT could not be induced and cardiomyopathy was diagnosed by  
>> endocardiac biopsy.
>>
>>
>> VTs occurred intermediately lasting several seconds to a few  
>> minutes. VT restored to sinuous rhythm either spontaneously or by  
>> intravenous propafenon administration. VT usually occurred at  
>> midnight or early morning. At the following years, Sometimes VT  
>> occurred quite often during a certain period (for example: twice  
>> attacks in Winter), and then no occurrence for several months or  
>> even longer time. The patient enjoys doing exercise. No VT  
>> attacked during exercise. No restriction to exercise.
>>
>> Since 27 yrs old (2004), propafenon has been administrated in the  
>> doses of 150mg bid or tid. Drug quitted after 1-2 months  
>> administrations, keeping no VT attack for 0.5-1.5 yrs.
>> Since last year, the drug cannot be quitted, otherwise VT  
>> reoccurred. So far, the doses of the drug are 200mg at early  
>> morning and 150mg at night. Lower dosages may not prevent the VTs.
>>
>> Any suggestion about the treatment?
>>
>> Zhu <dyeyxnk at yahoo.com.cn>
>
>

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