Open AccessAborted Sudden Cardiac Death Associated with Short QT Syndrome
Author(s) -
Okishige Kaoru,
Sugiyama Koji,
Maeda Minetaka,
Aoyagi Hideshi,
Kurabayashi Manabu,
Miyagi Naoto,
Ueshima Daisuke,
Azegami Koji,
Takei Tetsuhiro,
Itoh Toshitaka,
Makita Naomasa
Publication year - 2009
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/s1880-4276(09)80006-9
Subject(s) - medicine , short qt syndrome , ventricular fibrillation , cardiology , qt interval , sinus rhythm , sudden cardiac death , normal sinus rhythm , implantable cardioverter defibrillator , long qt syndrome , anesthesia , atrial fibrillation
A 43‐year‐old male was transferred to our institute. His heart rhythm on admission was ventricular fibrillation (VF) which was successfully defibrillated with a direct current shock (DC). A diagnosis of short QT syndrome (SQTS) was made on the basis of an abnormally short QT interval of 280 ms during the sinus rhythm. During treatment for mild total hypothermia, VF recurred repeatedly necessitating DCs. Nifekalant at a dose of 0.3 mg/kg was intravenously administered, the QT interval was prolonged from 280 to 370 ms and VF no longer recurred. Subsequently the patient underwent implantation of an implantable cardioverter defibrillator.