Key result
Implantation of an automatic defibrillator in a 37-year-old male with idiopathic ventricular fibrillation resulted in no clinical events or arrhythmias detected during 18 months of follow-up.
Why the study?
Does ICD implantation prevent sudden cardiac death in a patient with idiopathic ventricular fibrillation?
Case Report (n=1)
No
Does ICD implantation prevent sudden cardiac death in a patient with idiopathic ventricular fibrillation?
Implantable cardioverter-defibrillator (ICD) implantation is an effective secondary prevention strategy for patients surviving idiopathic ventricular fibrillation.
Supports ICD in idiopathic VF survivors; hypothesis-generating case report that should not change practice.
Idiopathic ventricular fibrillation is that which is produced in the absence of structural cardiac disease and of other identifiable causes of ventricular fibrillation such as cardiotoxicity, electrolytical alterations or hereditary predisposition. The case of a healthy male, aged 37, who was asymptomatic until the day he was admitted to hospital where he showed numerous episodes of ventricular fibrillation without any previous triggering, is discussed. In the examination no cause was found to explain this, and an automatic defibrillator was implanted. The requirements for its diagnosis, risk stratification and the usefulness of the tests employed, as well as the treatments proposed are discussed.
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Basterra et al. (2009) conducted a case report in Idiopathic ventricular fibrillation (n=1). Implantable cardioverter-defibrillator (ICD) was evaluated on Recurrence of clinical events or arrhythmias detected by ICD. Implantation of an automatic defibrillator in a 37-year-old male with idiopathic ventricular fibrillation resulted in no clinical events or arrhythmias detected during 18 months of follow-up.
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