scholarly journals Catheter ablation of a monofocal premature ventricular complex triggering idiopathic ventricular fibrillation

Heart ◽  
2001 ◽  
Vol 86 (1) ◽  
pp. 3e-3 ◽  
Author(s):  
S Takatsuki
Heart ◽  
2001 ◽  
Vol 86 (1) ◽  
pp. e3-e3
Author(s):  
S Takatsuki ◽  
H Mitamura ◽  
S Ogawa

A 62 year old man was admitted for evaluation of recurrent episodes of syncope. A surface ECG showed frequent repetitive premature ventricular complexes of right ventricular outflow tract origin. Ventricular fibrillation was inducible by programmed electrical stimulation but otherwise cardiac evaluation was unremarkable. A diagnosis of idiopathic ventricular fibrillation was made and an implantable cardioverter-defibrillator (ICD) was installed. However, spontaneous ventricular fibrillation recurred, requiring repeated ICD discharges. The ventricular fibrillation was reproducibly triggered by a single premature ventricular complex with a specific QRS morphology. Radiofrequency catheter ablation was carried out to eradicate this complex. No ventricular fibrillation has developed after this procedure, and the patient does not require drug treatment.


2015 ◽  
Vol 67 (4) ◽  
pp. 349-352 ◽  
Author(s):  
Radu Rosu ◽  
Lucian Muresan ◽  
Gabriel Cismaru ◽  
Mihai Puiu ◽  
Marius Andronache ◽  
...  

1992 ◽  
Vol 123 (1) ◽  
pp. 257-260 ◽  
Author(s):  
Yoshifusa Aizawa ◽  
Makoto Tamura ◽  
Masaomi Chinushi ◽  
Shinichi Niwano ◽  
Yoriko Kusano ◽  
...  

2017 ◽  
Vol 3 (5) ◽  
pp. 277-281
Author(s):  
Takahiko Nishiyama ◽  
Yoshiyasu Aizawa ◽  
Shogo Ito ◽  
Yoshinori Katsumata ◽  
Takehiro Kimura ◽  
...  

Author(s):  
Zofia Lasocka ◽  
Alicja Dąbrowska-Kugacka ◽  
Ewa Lewicka ◽  
Aleksandra Liżewska-Springer ◽  
Tomasz Królak

In patients with idiopathic ventricular fibrillation (VF), recurrent implantable cardioverter-defibrillator (ICD) shocks might increase mortality risk and reduce patients’ quality of life. Catheter ablation of triggering ectopic beats is considered to be an effective method. We present a patient with recurrent VF, caused by the “R on T” premature ventricular complexes. In the presented case radiofrequency catheter ablation efficiently eliminated arrhythmia trigger, which was possible to detect thanks to the intracardiac electrocardiograms (ECG’s) stored in the ICD.


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