Ventricular Fibrillation following Varicella Zoster Myocarditis.
Adam IoannouIrene TsappaSofia MetaxaConstantinos G MissourisPublished in: Case reports in cardiology (2017)
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.
Keyphrases
- magnetic resonance imaging
- left ventricular
- cardiac arrest
- end stage renal disease
- newly diagnosed
- heart failure
- contrast enhanced
- chronic kidney disease
- ejection fraction
- computed tomography
- prognostic factors
- peritoneal dialysis
- cardiopulmonary resuscitation
- risk factors
- diffusion weighted imaging
- minimally invasive
- catheter ablation
- patient reported outcomes
- congenital heart disease
- patient reported