A young woman presenting with dyspnoea and diffuse T-wave inversions: a case report.
Wenjie DongJingwen ZhangYunshan CaoPublished in: European heart journal. Case reports (2024)
Electrocardiogram changes, including right axis deviation, right bundle branch block, a deep S wave in lead I (R/S < 1), and a prominent R wave in lead aVR (R/Q > 1), have been termed PAS syndrome, often linked to TA-associated PAS, especially in young East Asian females. Early diagnosis is crucial but challenging due to atypical symptoms. The non-invasive ECG is vital for detection, with balloon pulmonary angioplasty serving as an effective treatment for TA-induced PAS when surgery is not an option, improving outcomes and potentially reversing right heart remodelling.
Keyphrases
- case report
- minimally invasive
- middle aged
- pulmonary hypertension
- high glucose
- coronary artery bypass
- heart rate
- heart rate variability
- atrial fibrillation
- drug induced
- physical activity
- endothelial cells
- oxidative stress
- loop mediated isothermal amplification
- metabolic syndrome
- sleep quality
- insulin resistance
- acute coronary syndrome
- smoking cessation