Key result
Myocardial reperfusion following silent ischemia caused self-terminating ventricular fibrillation in a 47-year-old woman without structural heart disease.
Case Report (n=1)
This case demonstrates that potentially lethal arrhythmias like ventricular fibrillation can arise during myocardial reperfusion and may be self-terminating.
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Raises awareness for reperfusion VF risk in silent ischemia without structural disease; hypothesis-generating and requires confirmation in larger studies.
Self-terminating ventricular fibrillation was recorded in a 47 year old woman without coronary artery or other structural heart disease. Reperfusion was thought to be responsible for the ventricular fibrillation because the arrhythmia started while the ST segment was returning to the baseline during an episode of silent ischaemia that was probably caused by coronary spasm. This case shows that potentially lethal arrhythmias can arise during reperfusion and that ventricular fibrillation during reperfusion may be self-terminating.
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Hemel et al. (1993) conducted a case report in Ventricular fibrillation (n=1). Myocardial reperfusion following silent ischemia caused self-terminating ventricular fibrillation in a 47-year-old woman without structural heart disease.
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