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Postpausal Ventricular Fibrillation Analyzed by Holter‐ECG: A Case Report
Author(s) -
NILSSON G.,
WIBERG S.,
BAND S.,
JONASSON T.
Publication year - 1992
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.1540-8159.1992.tb04176.x
Subject(s) - medicine , ventricular fibrillation , cardiology , defibrillation , myocardial infarction , electrocardiography , qt interval , holter monitor , anesthesia
A 70‐year‐old male patient with a myocardial infarction, 3 months previously, happened to be wearing a Holter monitor at cardiac arrest during micturition. The patient had ventricular fibrillation (VF) and was succesfully resuscitated by means of defibrillation. Analysis of the Holter tape revealed utrial fibrillation and secondary ventricular premature beats (VPB), i.e., VPBs dependent upon a relatively long interval between the two preceding heartbeats. The VF was preceded by an especially long R‐R interval (1.45 sec) following a run of especially short R‐R intervals implying the sharpest decelerution of the ventricular rate during 1 hour Holter recording preceding the cardiac arrest. A peculiar large alteration of the T wave configuration was also found to precede the VF.