Key result
Recurrent self-terminating idiopathic ventricular fibrillation presenting as syncope occurred in a patient with no relevant organic heart disease found at autopsy 40 years later.
Idiopathic ventricular fibrillation can present as syncope and occur without structural heart disease over a 40-year period.
Idiopathic VF syncope may follow a benign decades-long course; this case report leaves open the need for prospective risk-stratification data.
Out-of-hospital ventricular tachyarrhythmia has a high mortality. Most patients sustaining this type of arrhythmia have an organic heart disease. In this case report we present a patient with recurrent ventricular fibrillation with the clinical appearance of syncope, where no relevant organic heart disease could be found at autopsy performed 40 years later.
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Kontny et al. (1990) studied this question. Recurrent self-terminating idiopathic ventricular fibrillation presenting as syncope occurred in a patient with no relevant organic heart disease found at autopsy 40 years later.
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