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Electrical storm in an infant with short‐coupled variant of torsade de pointes
Author(s) -
Kise Hiroaki,
Ohno Seiko,
Kono Yosuke,
Yoshizawa Masashi,
Harama Daisuke,
Okafuji Asami,
Toda Takako,
Koizumi Keiichi,
Hoshiai Minako,
Sugita Kanji,
Horie Minoru
Publication year - 2018
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12071
Subject(s) - medicine , ventricular fibrillation , ventricular tachycardia , cardiology , amiodarone , defibrillation , verapamil , fibrillation , implantable cardioverter defibrillator , shock (circulatory) , sudden cardiac death , atrial fibrillation , calcium
A 10‐month‐old infant experienced cardiac arrest caused by ventricular fibrillation ( VF ). His electrocardiogram ( ECG ) at rest was within the normal range. Amiodarone was indispensable due to its refractoriness to defibrillation. After implantable cardioverter defibrillator ( ICD ) implantation, ICD shock was delivered. ICD recordings documented VF and ventricular tachycardia ( VT ) triggered by premature ventricular contractions with an extremely short coupling interval (240 ms), which were controlled by verapamil. To the best of our knowledge, our case is the first infant with ScTdP. As the electrical storm with ScTdP occurs unpredictably, it can be a cause of sudden infant death syndrome.

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