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- Title
Catheter Ablation for an Incessant Form of Antiarrhythmic Drug-Resistant Ventricular Fibrillation After Acute Coronary Syndrome.
- Authors
ENJOJI, YOSHIHISA; MIZOBUCHI, MASAHIRO; SHIBATA, KENSAKU; YOKOUCHI, ITARU; FUNATSU, ATSUSHI; KANBAYASHI, DAISUKE; KOBAYASHI, TOMOKO; NAKAMURA, SHIGERU
- Abstract
A 77-year-old man was admitted with an acute coronary syndrome (ACS), severe heart failure (HF), and repeated ventricular fibrillation (VF) episodes. A single premature ventricular complex (PVC) induced ventricular tachycardia (VT), which degenerated to VF reproducibly. This PVC was eliminated by catheter ablation at the left ventricular posteroseptal region where double Purkinje potentials preceding the ventricular wave had been recorded. The electrical storm disappeared, and programmable stimulation failed to induce any tachyarrhythmias after the ablation. A Purkinje fiber network-related PVC served as a trigger and as a substrate for VT and VF in a case of ACS with HF.
- Subjects
CATHETER ablation; VENTRICULAR fibrillation; MYOCARDIAL depressants; DRUG resistance; OLDER men; HEART failure; DISEASES in older people
- Publication
Pacing & Clinical Electrophysiology, 2006, Vol 29, Issue 1, p102
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/j.1540-8159.2006.00286.x