The presented case report describes a female patient suffering from polymyositis, in whom atrial tachycardia and depressed left ventricular function were diagnosed. Atrial tachycardia was confirmed by electrophysiological study, and the radiofrequency ablation failed to restore sinus rhythm. This case is an example of the tachy phase in brady-tachy syndrome. The patient is evaluated cardiologically on a regular basis with emphasis on bradycardia and asystole episodes because she was symptomatic for many years.
Get full access to this article
View all access options for this article.
References
1.
Askari AD: The heart in polymyositis and dermatomyositis. Mount Sinai J Med55:479-482, 1988.
Anders HJ, Wanders A, Rihl M, et al: Myocardial fibrosis in polymyositis. J Rheumatol26:1840-1842, 1999.
5.
Stern R, Godbold JH, Chess Q, et al: ECG abnormalities in polymyositis. Ann Intern Med144:2185-2189, 1984.
6.
Taylor AJ, Wortham DC, Burge JR, et al: The heart in polymyositis: A prospective evaluation of 26 patients. Clin Cardiol16:802-808, 1993.
7.
Gonzales-Lopez L, Gamez-Nava JI, Sanchez L, et al: Cardiac manifestations in dermato-polymyositis. Clin Exp Rheumatol14:373-379, 1996.
8.
Purice S, Luca R, Vintila M, et al: Cardiac involvement in progressive systemic sclerosis and polymyositis: A comparative study in 116 patients. Med Interna27:209-213, 1989.
9.
Gottdiener JS, Sherber HS, Hawley RJ, et al: Cardiac manifestations in polymyositis. Am J Cardiol41: 1141-1149, 1978.
10.
Alyan O, Ozdemir O, Geyik B, et al: Polymyositis complicated with complete atrioventricular block. A case report and review of the literature. Angiology54:729-731, 2003.