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Sudden cardiac death with triple pathologies: A case report

Sudden cardiac death in young adults may be associated with rare cardiomyopathies such as left ventricular noncompaction (LVNC) and arrhythmogenic right ventricular (ARVC) cardiomyopathies. LVNC is characterised by hypertrabeculations and deep recesses of the left ventricle. ARVC presents with thin...

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Autores principales: Razuin, R., Nurquin, F., Shahidan, M.N., Julina, M.N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Egyptian Society of Cardiology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839359/
https://www.ncbi.nlm.nih.gov/pubmed/29622970
http://dx.doi.org/10.1016/j.ehj.2017.02.001
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author Razuin, R.
Nurquin, F.
Shahidan, M.N.
Julina, M.N.
author_facet Razuin, R.
Nurquin, F.
Shahidan, M.N.
Julina, M.N.
author_sort Razuin, R.
collection PubMed
description Sudden cardiac death in young adults may be associated with rare cardiomyopathies such as left ventricular noncompaction (LVNC) and arrhythmogenic right ventricular (ARVC) cardiomyopathies. LVNC is characterised by hypertrabeculations and deep recesses of the left ventricle. ARVC presents with thin myocardium as a result of extensive fibro-fatty infiltrations. In both conditions, death may be due to arrhythmia, thromboembolic events or heart failure. We report a case of a 21-year old athletic young man who collapsed at the futsal court right after the game. He was resuscitated but expired at the hospital after a brief admission. A week earlier, he had a similar episode of syncope and revived through cardio-pulmonary resuscitation at the site. Post mortem examination showed extensive acute myocardial infarction (AMI) involving the papillary muscles and the left ventricular wall. Features of LVNC were also observed. On top of that, the right ventricle showed patchy thin myocardium as the wall was largely comprised of fat. Histology examination confirmed the presence of AMI and massive fibro-fatty infiltrations of the right ventricle. This unfortunate young man had co-existing cardiomyopathies which is rare indeed. As he succumbed to AMI, this mechanism of death is also uncommonly associated with neither LVNC nor ARVC. In conclusion, young and physically active individuals may not be spared of sudden cardiac death. Mild and non-specific symptoms should not be taken lightly as it may be the subtle signs of cardiomyopathies.
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spelling pubmed-58393592018-04-05 Sudden cardiac death with triple pathologies: A case report Razuin, R. Nurquin, F. Shahidan, M.N. Julina, M.N. Egypt Heart J Case Report Sudden cardiac death in young adults may be associated with rare cardiomyopathies such as left ventricular noncompaction (LVNC) and arrhythmogenic right ventricular (ARVC) cardiomyopathies. LVNC is characterised by hypertrabeculations and deep recesses of the left ventricle. ARVC presents with thin myocardium as a result of extensive fibro-fatty infiltrations. In both conditions, death may be due to arrhythmia, thromboembolic events or heart failure. We report a case of a 21-year old athletic young man who collapsed at the futsal court right after the game. He was resuscitated but expired at the hospital after a brief admission. A week earlier, he had a similar episode of syncope and revived through cardio-pulmonary resuscitation at the site. Post mortem examination showed extensive acute myocardial infarction (AMI) involving the papillary muscles and the left ventricular wall. Features of LVNC were also observed. On top of that, the right ventricle showed patchy thin myocardium as the wall was largely comprised of fat. Histology examination confirmed the presence of AMI and massive fibro-fatty infiltrations of the right ventricle. This unfortunate young man had co-existing cardiomyopathies which is rare indeed. As he succumbed to AMI, this mechanism of death is also uncommonly associated with neither LVNC nor ARVC. In conclusion, young and physically active individuals may not be spared of sudden cardiac death. Mild and non-specific symptoms should not be taken lightly as it may be the subtle signs of cardiomyopathies. Egyptian Society of Cardiology 2017-06 2017-03-06 /pmc/articles/PMC5839359/ /pubmed/29622970 http://dx.doi.org/10.1016/j.ehj.2017.02.001 Text en © 2017 Egyptian Society of Cardiology. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Razuin, R.
Nurquin, F.
Shahidan, M.N.
Julina, M.N.
Sudden cardiac death with triple pathologies: A case report
title Sudden cardiac death with triple pathologies: A case report
title_full Sudden cardiac death with triple pathologies: A case report
title_fullStr Sudden cardiac death with triple pathologies: A case report
title_full_unstemmed Sudden cardiac death with triple pathologies: A case report
title_short Sudden cardiac death with triple pathologies: A case report
title_sort sudden cardiac death with triple pathologies: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5839359/
https://www.ncbi.nlm.nih.gov/pubmed/29622970
http://dx.doi.org/10.1016/j.ehj.2017.02.001
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