Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis

An 84-year-old man presented with syncope. Prior to admission, ambulatory electrocardiogram had demonstrated non-sustained ventricular tachycardia. Echocardiography showed severe aortic stenosis. He was also diagnosed with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR) showing...

Full description

Saved in:
Bibliographic Details
Published in:Internal Medicine 2019/07/15, Vol.58(14), pp.2041-2044
Main Authors: Kawamura, Takayuki, Iwanaga, Yoshitaka, Nakamura, Takashi, Yasuda, Masakazu, Kurita, Takashi, Miyazaki, Shunichi
Format: Article
Language:English
Subjects:
Aortic stenosis
cardiac magnetic resonance
Cardiomyopathy
Case Report
complete atrioventricular block
Echocardiography
EKG
Electrocardiography
Etiology
Gadolinium
Heart
hypertrophic cardiomyopathy
Hypertrophy
Internal medicine
late gadolinium enhancement
Lesions
Resonance
Stenosis
Syncope
Tachycardia
Ventricle
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3
cites cdi_FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3
container_end_page 2044
container_issue 14
container_start_page 2041
container_title Internal Medicine
container_volume 58
creator Kawamura, Takayuki
Iwanaga, Yoshitaka
Nakamura, Takashi
Yasuda, Masakazu
Kurita, Takashi
Miyazaki, Shunichi
description An 84-year-old man presented with syncope. Prior to admission, ambulatory electrocardiogram had demonstrated non-sustained ventricular tachycardia. Echocardiography showed severe aortic stenosis. He was also diagnosed with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR) showing remarkable inhomogeneous left ventricular hypertrophy and extensive late gadolinium enhancement (LGE) in the lesions at the upper border and right-ventricular side of the basal-mid septal wall. Finally, he showed complete atrioventricular (AV) block followed by a long pause and syncope several times after admission. In this case with several possible causes of syncope, the CMR findings suggested a clue concerning the etiology of his syncope: complete AV block in HCM.
doi_str_mv 10.2169/internalmedicine.2563-18
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6702018</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2290880745</sourcerecordid><originalsourceid>FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3</originalsourceid><addsrcrecordid>eNplkl1v0zAUhiMEYmXwF5AlbrjJ8EeTODdIpTA2qWiIwbV14py0LqkdbGeoP49_hrOWCsaNLfl9_J7PLCOMXnBW1m-Mjegt9DtsjTYWL3hRipzJR9mMiXmdV1wUj7MZrZnMeTrOsmchbCkVsqr50-xMTAqndJb9WoJvDWjyCdYWo9HkCwZnwWok1y3aaDqDLYkbJJem8W4iVhiMs2QRgtMGYpJ_mrght3ur3YBkESPo7-T9iCQ6snS7occ4PXvj7pKjN3rswZN3vUuYsQTIZ4gmKQefq_2APno3bFKs-_Tcbu8GiJs9AduShfNTFrcRrQsmPM-edNAHfHG8z7Nvlx--Lq_y1c3H6-VileuS0ZhLpLSgXDBWtG0pqSibmhd1J1lblOVcdNDqGqq2qSnlZcmaohVz2mhRFMAq3Ynz7O3Bdxib1Hc9VQK9GrzZgd8rB0b9q1izUWt3p8qKcspkMnh9NPDux4ghqp0JGvseLLoxKM7qNBXBZJHQVw_QrRungSeK11RKWs0nSh4o7V0IHrtTMoyqaU_Uwz1R056o-1xe_l3M6eOfxUjAzQHYhghrPAEw9b7H_50Lqdh8Oo8hTqTegFdoxW99NuCH</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2290880745</pqid></control><display><type>article</type><title>Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis</title><source>Open Access: PubMed Central</source><creator>Kawamura, Takayuki ; Iwanaga, Yoshitaka ; Nakamura, Takashi ; Yasuda, Masakazu ; Kurita, Takashi ; Miyazaki, Shunichi</creator><creatorcontrib>Kawamura, Takayuki ; Iwanaga, Yoshitaka ; Nakamura, Takashi ; Yasuda, Masakazu ; Kurita, Takashi ; Miyazaki, Shunichi</creatorcontrib><description>An 84-year-old man presented with syncope. Prior to admission, ambulatory electrocardiogram had demonstrated non-sustained ventricular tachycardia. Echocardiography showed severe aortic stenosis. He was also diagnosed with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR) showing remarkable inhomogeneous left ventricular hypertrophy and extensive late gadolinium enhancement (LGE) in the lesions at the upper border and right-ventricular side of the basal-mid septal wall. Finally, he showed complete atrioventricular (AV) block followed by a long pause and syncope several times after admission. In this case with several possible causes of syncope, the CMR findings suggested a clue concerning the etiology of his syncope: complete AV block in HCM.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.2563-18</identifier><identifier>PMID: 30918200</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Aortic stenosis ; cardiac magnetic resonance ; Cardiomyopathy ; Case Report ; complete atrioventricular block ; Echocardiography ; EKG ; Electrocardiography ; Etiology ; Gadolinium ; Heart ; hypertrophic cardiomyopathy ; Hypertrophy ; Internal medicine ; late gadolinium enhancement ; Lesions ; Resonance ; Stenosis ; Syncope ; Tachycardia ; Ventricle</subject><ispartof>Internal Medicine, 2019/07/15, Vol.58(14), pp.2041-2044</ispartof><rights>2019 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2019</rights><rights>Copyright © 2019 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3</citedby><cites>FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702018/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702018/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30918200$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawamura, Takayuki</creatorcontrib><creatorcontrib>Iwanaga, Yoshitaka</creatorcontrib><creatorcontrib>Nakamura, Takashi</creatorcontrib><creatorcontrib>Yasuda, Masakazu</creatorcontrib><creatorcontrib>Kurita, Takashi</creatorcontrib><creatorcontrib>Miyazaki, Shunichi</creatorcontrib><title>Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>An 84-year-old man presented with syncope. Prior to admission, ambulatory electrocardiogram had demonstrated non-sustained ventricular tachycardia. Echocardiography showed severe aortic stenosis. He was also diagnosed with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR) showing remarkable inhomogeneous left ventricular hypertrophy and extensive late gadolinium enhancement (LGE) in the lesions at the upper border and right-ventricular side of the basal-mid septal wall. Finally, he showed complete atrioventricular (AV) block followed by a long pause and syncope several times after admission. In this case with several possible causes of syncope, the CMR findings suggested a clue concerning the etiology of his syncope: complete AV block in HCM.</description><subject>Aortic stenosis</subject><subject>cardiac magnetic resonance</subject><subject>Cardiomyopathy</subject><subject>Case Report</subject><subject>complete atrioventricular block</subject><subject>Echocardiography</subject><subject>EKG</subject><subject>Electrocardiography</subject><subject>Etiology</subject><subject>Gadolinium</subject><subject>Heart</subject><subject>hypertrophic cardiomyopathy</subject><subject>Hypertrophy</subject><subject>Internal medicine</subject><subject>late gadolinium enhancement</subject><subject>Lesions</subject><subject>Resonance</subject><subject>Stenosis</subject><subject>Syncope</subject><subject>Tachycardia</subject><subject>Ventricle</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNplkl1v0zAUhiMEYmXwF5AlbrjJ8EeTODdIpTA2qWiIwbV14py0LqkdbGeoP49_hrOWCsaNLfl9_J7PLCOMXnBW1m-Mjegt9DtsjTYWL3hRipzJR9mMiXmdV1wUj7MZrZnMeTrOsmchbCkVsqr50-xMTAqndJb9WoJvDWjyCdYWo9HkCwZnwWok1y3aaDqDLYkbJJem8W4iVhiMs2QRgtMGYpJ_mrght3ur3YBkESPo7-T9iCQ6snS7occ4PXvj7pKjN3rswZN3vUuYsQTIZ4gmKQefq_2APno3bFKs-_Tcbu8GiJs9AduShfNTFrcRrQsmPM-edNAHfHG8z7Nvlx--Lq_y1c3H6-VileuS0ZhLpLSgXDBWtG0pqSibmhd1J1lblOVcdNDqGqq2qSnlZcmaohVz2mhRFMAq3Ynz7O3Bdxib1Hc9VQK9GrzZgd8rB0b9q1izUWt3p8qKcspkMnh9NPDux4ghqp0JGvseLLoxKM7qNBXBZJHQVw_QrRungSeK11RKWs0nSh4o7V0IHrtTMoyqaU_Uwz1R056o-1xe_l3M6eOfxUjAzQHYhghrPAEw9b7H_50Lqdh8Oo8hTqTegFdoxW99NuCH</recordid><startdate>20190715</startdate><enddate>20190715</enddate><creator>Kawamura, Takayuki</creator><creator>Iwanaga, Yoshitaka</creator><creator>Nakamura, Takashi</creator><creator>Yasuda, Masakazu</creator><creator>Kurita, Takashi</creator><creator>Miyazaki, Shunichi</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190715</creationdate><title>Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis</title><author>Kawamura, Takayuki ; Iwanaga, Yoshitaka ; Nakamura, Takashi ; Yasuda, Masakazu ; Kurita, Takashi ; Miyazaki, Shunichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aortic stenosis</topic><topic>cardiac magnetic resonance</topic><topic>Cardiomyopathy</topic><topic>Case Report</topic><topic>complete atrioventricular block</topic><topic>Echocardiography</topic><topic>EKG</topic><topic>Electrocardiography</topic><topic>Etiology</topic><topic>Gadolinium</topic><topic>Heart</topic><topic>hypertrophic cardiomyopathy</topic><topic>Hypertrophy</topic><topic>Internal medicine</topic><topic>late gadolinium enhancement</topic><topic>Lesions</topic><topic>Resonance</topic><topic>Stenosis</topic><topic>Syncope</topic><topic>Tachycardia</topic><topic>Ventricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawamura, Takayuki</creatorcontrib><creatorcontrib>Iwanaga, Yoshitaka</creatorcontrib><creatorcontrib>Nakamura, Takashi</creatorcontrib><creatorcontrib>Yasuda, Masakazu</creatorcontrib><creatorcontrib>Kurita, Takashi</creatorcontrib><creatorcontrib>Miyazaki, Shunichi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawamura, Takayuki</au><au>Iwanaga, Yoshitaka</au><au>Nakamura, Takashi</au><au>Yasuda, Masakazu</au><au>Kurita, Takashi</au><au>Miyazaki, Shunichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2019-07-15</date><risdate>2019</risdate><volume>58</volume><issue>14</issue><spage>2041</spage><epage>2044</epage><pages>2041-2044</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>An 84-year-old man presented with syncope. Prior to admission, ambulatory electrocardiogram had demonstrated non-sustained ventricular tachycardia. Echocardiography showed severe aortic stenosis. He was also diagnosed with hypertrophic cardiomyopathy (HCM) by cardiac magnetic resonance (CMR) showing remarkable inhomogeneous left ventricular hypertrophy and extensive late gadolinium enhancement (LGE) in the lesions at the upper border and right-ventricular side of the basal-mid septal wall. Finally, he showed complete atrioventricular (AV) block followed by a long pause and syncope several times after admission. In this case with several possible causes of syncope, the CMR findings suggested a clue concerning the etiology of his syncope: complete AV block in HCM.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>30918200</pmid><doi>10.2169/internalmedicine.2563-18</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0918-2918
ispartof Internal Medicine, 2019/07/15, Vol.58(14), pp.2041-2044
issn 0918-2918
1349-7235
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6702018
source Open Access: PubMed Central
subjects Aortic stenosis
cardiac magnetic resonance
Cardiomyopathy
Case Report
complete atrioventricular block
Echocardiography
EKG
Electrocardiography
Etiology
Gadolinium
Heart
hypertrophic cardiomyopathy
Hypertrophy
Internal medicine
late gadolinium enhancement
Lesions
Resonance
Stenosis
Syncope
Tachycardia
Ventricle
title Cardiac Magnetic Resonance Identified the Fibrotic Lesion Associated with Syncope Attack Due to Complete Atrioventricular Block in a Patient with Hypertrophic Cardiomyopathy and Aortic Stenosis
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T21%3A20%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Cardiac%20Magnetic%20Resonance%20Identified%20the%20Fibrotic%20Lesion%20Associated%20with%20Syncope%20Attack%20Due%20to%20Complete%20Atrioventricular%20Block%20in%20a%20Patient%20with%20Hypertrophic%20Cardiomyopathy%20and%20Aortic%20Stenosis&rft.jtitle=Internal%20Medicine&rft.au=Kawamura,%20Takayuki&rft.date=2019-07-15&rft.volume=58&rft.issue=14&rft.spage=2041&rft.epage=2044&rft.pages=2041-2044&rft.issn=0918-2918&rft.eissn=1349-7235&rft_id=info:doi/10.2169/internalmedicine.2563-18&rft_dat=%3Cproquest_pubme%3E2290880745%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c610t-8e005023115dd68036b9259f81d56643fadc9a7db9002661b5d340bc355a17cf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2290880745&rft_id=info:pmid/30918200&rfr_iscdi=true