Why the study?
Does isoproterenol infusion and parathyroidectomy treat VF storm and resolve ECG abnormalities in a patient with J wave syndrome due to severe hypercalcemia?
Does isoproterenol infusion and parathyroidectomy treat VF storm and resolve ECG abnormalities in a patient with J wave syndrome due to severe hypercalcemia?
Isoproterenol infusion and subsequent parathyroidectomy successfully treated a VF storm and resolved ECG abnormalities in a patient with J wave syndrome secondary to severe hypercalcemia.
May support isoproterenol and parathyroidectomy for hypercalcemia-related VF storm; hypothesis-generating, requiring prospective validation.
A case of J wave syndrome with ventricular fibrillation (VF) storm and severe hypercalcemia due to primary hyperparathyroidism is presented. VF storm subsided with an isoproterenol infusion. Prominent J waves and a Brugada-like electrocardiogram pattern disappeared after parathyroidectomy. Ventricular tachyarrhythmia was not induced during an electrophysiological study. The patient remained asymptomatic up to the 12-month follow-up.
No takes yet. Share an insight, caveat, or question.
Shiozaki et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: