Premature ventricular beats initiate recurrent ventricular fibrillation in early repolarization syndrome

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 patter...

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Bibliographic Details
Main Authors: Nauman Ahmed, Antonio Frontera, Edward Duncan, Glyn Thomas
Format: Article
Language:English
Published: Wiley 2015-04-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427614001240
Description
Summary: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.
ISSN:1880-4276