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Previous Volume 335:1378-1386 October 31, 1996 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 50-year-old woman was admitted to the hospital because of cardiac arrest in ventricular fibrillation.

She had been in excellent health until four years earlier, when she abruptly lost consciousness. Evaluation elsewhere revealed complete heart block. An electronic cardiac pacemaker, in DDD mode, was implanted, with symptomatic improvement.

Three and a half years before admission, the patient had exertional dyspnea and tachycardia. Disopyramide was administered, but ventricular fibrillation developed within a week; the drug was discontinued. Cardiac ultrasonography showed a dilated left ventricle, with akinesis of the anterior wall, the middle-to-distal portion of the septum, and the cardiac apex. The . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Brian A. McGovern's Diagnoses

Pathological Discussion

Anatomical Diagnoses

References

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