Confusion in a patient with premature ventricular complexes originating in the left ventricular summit. Issue 4 (28th March 2023)

• Record Type: Journal Article
• Authors: Luani, Blerim; Schmeisser, Alexander; Wiemer, Marcus; Braun-Dullaeus, Rüdiger C
• Editors: Ang, Richard; Schönbuer, Robert; Kott, Katharine; Spinthakis, Nikolaos; Mohan, Siddhartha
• Is Part Of: European heart journal. Volume 7:Issue 4(2023)
• Publication Date: 2023-03-28
• Subjects: Outflow tract PVC -- Mitral regurgitation -- Pulmonary hypertension -- PVC catheter ablation -- Case report; Cardiology -- Periodicals; Cardiology -- Case studies -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Diseases -- Case studies -- Periodicals; 616.12
• DOI: 10.1093/ehjcr/ytad142
• Languages: English
• ISSNs: 2514-2119

Abstract

Abstract: Background: Premature ventricular complexes (PVCs) originating in the ventricular outflow tracts are mostly of benign character. Case Summary: We describe a rare case of pulmonary hypertension with severe hypoxaemia and confusion caused by a significant mitral regurgitation (MR) during PVC originating in the left ventricle summit. After successful PVC ablation, all above-mentioned clinical parameters had normalized. Discussion: Premature ventricular complexes originating in the outflow tracts should be considered as a potential though rare cause of severe MR and pulmonary hypertension.