Catheter ablation of a monofocal premature ventricular complex triggering idiopathic ventricular fibrillation.

Seiji Takatsuki, H. Mitamura, S. Ogawa

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

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.

Original languageEnglish
JournalHeart (British Cardiac Society)
Volume86
Issue number1
Publication statusPublished - 2001

Fingerprint

Ventricular Premature Complexes
Catheter Ablation
Ventricular Fibrillation
Implantable Defibrillators
Syncope
Electric Stimulation
Electrocardiography
Paroxysmal ventricular fibrillation
Pharmaceutical Preparations
Therapeutics

Cite this

Catheter ablation of a monofocal premature ventricular complex triggering idiopathic ventricular fibrillation. / Takatsuki, Seiji; Mitamura, H.; Ogawa, S.

In: Heart (British Cardiac Society), Vol. 86, No. 1, 2001.

Research output: Contribution to journalArticle

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