Premature ventricular beats initiate recurrent ventricular fibrillation in early repolarization syndrome
Nauman Ahmed, Antonio Frontera, Edward Duncan and 1 more
Journal of Arrhythmia · 2015
doi:10.1016/j.joa.2014.07.001 (opens in a new tab)
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Abstract
An early repolarization (ER) pattern on electrocardiography was historically considered a benign finding; however, this finding in the inferior and lateral leads has recently been associated with idiopathic ventricular fibrillation (VF). Here we describe a case of a 29-year-old man with an ER pattern, who experienced recurrent implantable cardioverter-defibrillator (ICD) shocks for ventricular tachycardia (VT) and VF. An ICD interrogation demonstrated how VF and VT were repeatedly initiated by closely coupled premature ventricular beats.
Abstract licence: CC BY-NC
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