Arrhythmia-induced Cardiomyopathy: An Article Review

Sidhi Laksono Purwowiyoto; Hillary Kusharsamita

doi:10.3889/oamjms.2022.8133

Authors

Sidhi Laksono Purwowiyoto Department of Cardiology and Vascular Medicine, RS Pusat Pertamina, South Jakarta, Indonesia; Faculty of Medicine, Universitas Muhammadiyah Prof. DR. Hamka, Tangerang, Indonesia
Hillary Kusharsamita Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8133

Keywords:

Arrhythmia, Cardiomyopathy, Tachycardia, Premature ventricular complexes, Atrial fibrillation, Ventricular dysfunction, Heart failure

Abstract

Arrhythmia is one of the significant reversible causes in patients with heart disease and left ventricular dysfunction. Tachycardia, atrial fibrillation, and premature ventricular contractions have indeed been related to arrhythmia-induced cardiomyopathy (CM), a reversible dilated CM. Effective arrhythmia suppression will entirely or partially recover ventricular function, lowering morbidity and mortality. However, the importance of arrhythmia-induced CM (ARiCM) is often underestimated in clinical practice because arrhythmia is often seen as a result rather than a cause of CM, leading in treatment delays and failure to increase the quality of life and better clinical outcomes. This article review aims to summarize the pathomechanisms, and a general approach to the management of ARiCM and its long-term outcomes. ARiCM can cause a variety of clinical signs, ranging from asymptomatic to severe heart failure symptoms. Electrocardiogram, 24 h Holter monitoring, echocardiography, and cardiac magnetic resonance are all recommended for diagnosis. More research is required to better understand the pathogenesis of ARiCM and to differentiate treatment alternatives to choose the ideal ARiCM management approach.

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