Interv Akut Kardiol. 2017;16(2):80-83 | DOI: 10.36290/kar.2017.012

Reverted sudden death and malignant arrhythmias in the patient after myocarditis

Adel Abdulghani^{1, 2}, Jozef Jakabčin², Milouš Derner³, Pavel Červinka²

1Městská nemocnice Duchcov, 2Klinika kardiologie, Krajská zdravotní, a.s., Ústí nad Labem, 3RDG oddělení, Krajská zdravotní, a.s., Ústí nad Labem

The case report documents young man with myocarditis as a etiology of irreversible left ventricular dysfunction. Myocarditis is

the pathological result of myocardial infection and autoimmunity that causes active inflammatory destruction of myocytes. In

our case fibrotic scar tissue was documented with magnetic resonance imaging in the left ventricle and interventricular septal

tissue. Malignant arrhythmia was the etiology of aborted sudden cardiac death in the acute phase and few months later. Case

describes the process of differential diagnosis of acute phase after ventricular tachycardia at the emergency department. Prognosis

of patients after myocarditis is not easy to estimate. In this case the patient's prognosis is relatively better due to implantation of

the cardioverter defibrillator device and exclusion of the fulminant progression of the heart failure.

Keywords: myocarditis, sudden cardiac death, magnetic resonance, cardioverter defibrillator

Received: April 18, 2017; Accepted: May 16, 2017; Published: May 1, 2017  Show citation