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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Format: | Article |
Language: | English |
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Wiley
2017-01-01
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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. |
format | Article |
id | doaj-art-5e703e1ed791416a8f30ca40022d3b2b |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
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 |
work_keys_str_mv | AT adamioannou ventricularfibrillationfollowingvaricellazostermyocarditis AT irenetsappa ventricularfibrillationfollowingvaricellazostermyocarditis AT sofiametaxa ventricularfibrillationfollowingvaricellazostermyocarditis AT constantinosgmissouris ventricularfibrillationfollowingvaricellazostermyocarditis |