Histopathologic and electrophysiologic correlations in idiopathic dilated cardiomyopathy and sustained ventricular tachyarrhythmia

Y. S. Archie Lo, Margaret Billingham, Reed A. Rowan, Hon Chi Lee, L. Bing Liem, Charles D. Swerdlow

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Idiopathic dilated cardiomyopathy is associated with a high incidence of serious ventricular arrhythmias, which carry a significant risk of sudden death.1 In contrast to patients with coronary artery disease, in whom ventricular tachycardia arises as a result of reentrant circuits that form during the healing of an infarct,2-4 the histologic substrate for ventricular arrhythmias in dilated cardiomyopathy has not been identified. Using various semiquantitative scoring methods, several groups have attempted to correlate histopathology with hemodynamic data as well as prognosis in patients with idiopathic dilated cardiomyopathy.5-8 Myocarditis has been reported in patients with dilated cardiomyopathy and unexplained ventricular arrhythmias.9 However, a possible correlation between the inducibility of sustained ventricular tachycardia during electrophysiologic study and histopathology has not been systematically examined. A preliminary report from Stanford University suggested that a semiquantitative histologic score may be useful in predicting response to β blockers in patients with dilated cardiomyopathy.10 To determine if an identifiable histologic correlate for inducible sustained ventricular tachycardia exists in patients with idiopathic dilated cardiomyopathy presenting with sustained ventricular tachyarrhythmia, we analyzed histologic and electrophysiologic data from 25 such patients using the same scoring system.

Original languageEnglish (US)
Pages (from-to)1063-1066
Number of pages4
JournalThe American journal of cardiology
Volume64
Issue number16
DOIs
StatePublished - Nov 1 1989

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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