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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:1432-1438 May 25, 1995 Number 21
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Case 16-1995— A 35-year-old man with dilated cardiomyopathy, repeated ventricular tachycardia, and pulmonary lesions
F.J. Venditti, and E.J. Mark

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Presentation of Case

A 35-year-old man was admitted to the hospital because of recurrent ventricular tachycardia.

The patient had been well until seven months earlier, when ventricular tachycardia occurred and a diagnosis of dilated cardiomyopathy was made; no cause was identified. Radiographs of the chest showed ill-defined opacities in the right upper lobe. A tuberculin skin test was negative, a test with mumps antigen was positive, and a test for human immunodeficiency virus (HIV) antibodies was negative. Microscopical examination of right and left ventricular myocardial-biopsy specimens revealed myocyte hypertrophy, without evidence of myocarditis. Because of recurrent bouts of ventricular tachycardia that were uncontrolled . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Ferdinand J. Venditti, Jr.'s, Diagnosis

Pathological Discussion

Anatomical Diagnosis

Addendum

References




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