AI Summary & Key Takeaways
AI InsightHence, the patient was discharged with albendazole and amiadarone treatment.
📌 3 Key Takeaways
Abstract
A 35-year-old man was admitted to our hospital’s emergency department with chest pain, lightheadedness and long lasting palpitation. Twelve lead electrocardiography revealed wide QRS tachycardia suggesting sustained ventricular tachycardia at the rate of 220 beats per minute. Transthorasic echocardiography revealed a cystic mass with a size of 5x6 cm located intramyocardially in the left ventricular lateral wall. T2 weighted images of cardiac magnetic resonance imaging showed the mass of 6x7x5 cm in size, compatible with hydatid cyst in the left ventricular lateral wall. Specific blood tests for hydatid cyst were positive. Combination of antihelminthic chemotherapy to be followed by surgical excision of the cyst was planned but, the patient refused to undergo a cardiac surgery. Hence, the patient was discharged with albendazole and amiadarone treatment.
Özet
35 yaşındaki erkek hasta, göğüs ağrısı, baş dönmesi ve uzun süren çarpıntı ile acil servise başvurdu. 12 kanallı elektrokardiyografide ventriküler taşikardiyi düşündüren 220/dk. hızında geniş QRS’li taşikardi saptandı. Transtorasik ekokardiyografide sol ventrikül lateral duvarı intra myokardiyal yerleşimli 5x6 cm’lik kistik kitle izlendi.Kardiyak magnetik rezonans, T2 ağırlıklı görüntülerde sol vetrikül lateral duvarda 6x7x5 cm büyüklüğündeki kitlenin kist hidatid ile uyumlu olduğunu gösterdi. Kist hidatid için yapılan kan testleri pozitif saptanan hastaya antihelmintik tedaviye takiben kistin cerrahi olarak çıkarılması planlandı ancak hasta kardiyak cerrahiyi kabul etmedi, bu nedenle hasta albendazol ve amiadaron tedavisi ile taburcu edildi.