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Sudden Cardiac Death in a Southeast Asian Immigrant: Clinical, Electrophysiologic, and Biopsy Characteristics
Author(s) -
GILBERT JON,
GOLD ROBERT L.,
HAFFAJEE CHARLES I.,
ALPERT JOSEPH S.
Publication year - 1986
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1986.tb06640.x
Subject(s) - medicine , cardiology , immigration , sudden cardiac death , archaeology , history
The syndrome of sudden cardiac death in southeast Asians has only recently been given attention in the American medical literature. This case report describes a patient who presented with this rare syndrome. The physical examination, Holter monitor. 2‐D echocardiogram, exercise treadmill test, radionuclide ventriculogram, coronary angiography, and endomyocardial biopsy were all normal. Programmed ventricular stimulation reproducibly induced sustained polymorphic ventricular tachycardia, Oral procainamide, oral quinidine and oral quinidine plus propranolol were not successful in suppressing inducible polymorphic ventricular tachycardia. The arrhythmia remained inducible after six weeks of oral amiodarone therapy. However, he has had no clinical recurrences while on amiodarone after one year of follow‐up.