Open AccessPremature ventricular beats initiate recurrent ventricular fibrillation in early repolarization syndrome
Author(s) -
Ahmed Nauman,
Frontera Antonio,
Duncan Edward,
Thomas Glyn
Publication year - 2015
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 - 10.1016/j.joa.2014.07.001
Subject(s) - medicine , ventricular fibrillation , cardiology , benign early repolarization , ventricular repolarization , brugada syndrome , repolarization , myocardial infarction , st segment , electrophysiology
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.