Ventricular fibrillation and sudden cardiac arrest in apical hypertrophic cardiomyopathy: Two case reports

We present a case of a 15-year-old girl after sudden cardiac arrest because of ventricular fibrillation. Hypertrophic cardiomyopathy was diagnosed. Family history of patient was positive – her uncle (mother’s brother) died suddenly at the age of 21, postmortem examination showed hypertrophic cardiomyopathy. The deceased man’s family was not under cardiac care. The presented case proves, that due to genetically determined cardiac diseases such as cardiomyopathies and channelopathies, all related family members should be examined cardiologically. Diagnosis of the disease in asymptomatic patients would allow the implementation of treatment and reduce the risk of a sudden cardiac arrest / sudden cardiac death.

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Characteristics and clinical assessment of unexplained sudden cardiac arrest in the real-world setting: focus on idiopathic ventricular fibrillation

European Heart Journal ◽

10.1093/eurheartj/ehy098 ◽

2018 ◽

Vol 39 (21) ◽

pp. 1981-1987 ◽

Cited By ~ 32

Author(s):

Victor Waldmann ◽

Wulfran Bougouin ◽

Nicole Karam ◽

Florence Dumas ◽

Ardalan Sharifzadehgan ◽

...

Keyword(s):

Cardiac Arrest ◽

Ventricular Fibrillation ◽

Clinical Assessment ◽

Real World ◽

Sudden Cardiac Arrest ◽

Idiopathic Ventricular Fibrillation ◽

The Real ◽

Real World Setting

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Sudden Cardiac Arrest during Adenotonsillectomy in a Patient with Subclinical Duchenne's Muscular Dystrophy

Ear Nose & Throat Journal ◽

10.1177/014556139307200206 ◽

1993 ◽

Vol 72 (2) ◽

pp. 130-131 ◽

Cited By ~ 8

Author(s):

Nick C. Benton ◽

Robert A. Wolgat

Keyword(s):

Cardiac Arrest ◽

Muscular Dystrophy ◽

General Anesthesia ◽

Case Reports ◽

Sudden Cardiac Arrest ◽

Elevated Serum ◽

Serum Creatine Kinase ◽

Strong Family History ◽

History Of ◽

Duchenne's Muscular Dystrophy

We describe a four-year-old boy of Indian descent who had elective adenotonsillectomy for chronic sore throat and partial airway obstruction. About 10 minutes into the procedure, the patient suddenly developed cardiac asystole. After prolonged cardiac resuscitation, recovery was achieved. No permanent neurologic deficits resulted. The child was later found to have a strong family history of Duchenne's muscular dystrophy (DMD) and an elevated serum creatine kinase level documented since shortly after birth. We reviewed several case reports substantiating the risk for cardiac arrest during general anesthesia in DMD patients, and we concluded that DMD is a little-known risk for cardiac arrest during general anesthesia. The otolaryngologist must be aware of this potential complication, because tonsillectomy and adenoidectomy are commonly indicated for children at an age when DMD may be subclinical.

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The dependence of successful resuscitation on electrocardiographically documented cardiac rhythm in case of out-of-hospital cardiac arrest

Medicina ◽

10.3390/medicina43100102 ◽

2007 ◽

Vol 43 (10) ◽

pp. 798 ◽

Cited By ~ 4

Author(s):

Nedas Jasinskas ◽

Dinas Vaitkaitis ◽

Vidas Pilvinis ◽

Lina Jančaitytė ◽

Gailutė Bernotienė ◽

...

Keyword(s):

Cardiac Arrest ◽

Ventricular Fibrillation ◽

Cardiac Rhythm ◽

Sudden Cardiac Arrest ◽

Spontaneous Circulation ◽

Consensus Conference ◽

Successful Resuscitation ◽

Initial Rhythm ◽

Hospital Deaths ◽

One Year

Objective. To determine the influence of electrocardiographically documented cardiac rhythm during sudden cardiac arrest on successful resuscitation among out-of-hospital deaths in Kaunas city. Material and methods. An observational prospective study was conducted between 1 January, 2005, and 30 December, 2005, in Kaunas city with a population of 360 627 inhabitants. In this period, all cases of cardiac arrest were analyzed according to the guidelines of the Utstein consensus conference. Cardiac arrest (both of cardiac and noncardiac etiology) was confirmed in 72 patients during one year. Effective cardiopulmonary resuscitation was performed in 18 patients. Results. The total number of deaths from all causes in Kaunas during 1-year study period was 6691. Sixty-two patients due to sudden death of cardiac etiology were resuscitated by emergency medical services personnel. Return of spontaneous circulation was achieved in 11 patients. Ventricular fibrillation was observed in 33 (53.2%) patients. Asystole was present in 11 (17.7%) and other rhythms in 18 (29.1%) cases. Patients with ventricular fibrillation as an initial rhythm were more likely to be successfully resuscitated than patients with asystole. Conclusions. Ventricular fibrillation was the most common electrocardiographically documented cardiac rhythm registered during cardiac arrest in out-of-hospital settings. Ventricular fibrillation as a mechanism of cardiac arrest was associated with major cases of successful resuscitation.

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