Ventricular Fibrillation following Varicella Zoster Myocarditis

Varicella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collap...

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Main Authors: Adam Ioannou, Irene Tsappa, Sofia Metaxa, Constantinos G. Missouris
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/1017686
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author Adam Ioannou
Irene Tsappa
Sofia Metaxa
Constantinos G. Missouris
author_facet Adam Ioannou
Irene Tsappa
Sofia Metaxa
Constantinos G. Missouris
author_sort Adam Ioannou
collection DOAJ
description Varicella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collapse eight years later, and cardiac magnetic resonance imaging (MRI) demonstrated mild mid-wall basal and inferolateral wall fibrosis. He was treated with an implantable cardioverter defibrillator (ICD) and represented two years later with ICD shocks, and interrogation of the device revealed ventricular fibrillation episodes. This case demonstrates the life-threatening long-term sequelae of VZV myocarditis in adults. We suggest that VZV myocarditis should be considered in all patients who present with a syncopal event after VZV infection. In these patients, ICD implantation is a potentially life-saving procedure.
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series Case Reports in Cardiology
spelling doaj-art-5e703e1ed791416a8f30ca40022d3b2b2025-02-03T06:04:57ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/10176861017686Ventricular Fibrillation following Varicella Zoster MyocarditisAdam Ioannou0Irene Tsappa1Sofia Metaxa2Constantinos G. Missouris3Royal Free Hospital, London, UKUniversity of Cyprus Medical School, Nicosia, CyprusFrimley Health NHS Foundation Trust, London, UKUniversity of Cyprus Medical School, Nicosia, CyprusVaricella-zoster virus (VZV) infection can rarely lead to serious cardiac complications and life-threatening arrhythmias. We present a case of a 46-year-old male patient who developed VZV myocarditis and presented with recurrent syncopal episodes followed by a cardiac arrest. He had a further collapse eight years later, and cardiac magnetic resonance imaging (MRI) demonstrated mild mid-wall basal and inferolateral wall fibrosis. He was treated with an implantable cardioverter defibrillator (ICD) and represented two years later with ICD shocks, and interrogation of the device revealed ventricular fibrillation episodes. This case demonstrates the life-threatening long-term sequelae of VZV myocarditis in adults. We suggest that VZV myocarditis should be considered in all patients who present with a syncopal event after VZV infection. In these patients, ICD implantation is a potentially life-saving procedure.http://dx.doi.org/10.1155/2017/1017686
spellingShingle Adam Ioannou
Irene Tsappa
Sofia Metaxa
Constantinos G. Missouris
Ventricular Fibrillation following Varicella Zoster Myocarditis
Case Reports in Cardiology
title Ventricular Fibrillation following Varicella Zoster Myocarditis
title_full Ventricular Fibrillation following Varicella Zoster Myocarditis
title_fullStr Ventricular Fibrillation following Varicella Zoster Myocarditis
title_full_unstemmed Ventricular Fibrillation following Varicella Zoster Myocarditis
title_short Ventricular Fibrillation following Varicella Zoster Myocarditis
title_sort ventricular fibrillation following varicella zoster myocarditis
url http://dx.doi.org/10.1155/2017/1017686
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AT irenetsappa ventricularfibrillationfollowingvaricellazostermyocarditis
AT sofiametaxa ventricularfibrillationfollowingvaricellazostermyocarditis
AT constantinosgmissouris ventricularfibrillationfollowingvaricellazostermyocarditis