Key result
A 24-year-old soldier with Wolff-Parkinson-White syndrome and early repolarisation survived a cardiac arrest due to ventricular fibrillation after external DC cardioversion.
Case Report (n=1)
This case highlights the clinical presentation of cardiac arrest in a patient with concomitant Wolff-Parkinson-White syndrome and early repolarization.
Alerts clinicians to VF risk in young WPW patients with early repolarization; leaves open whether this pattern predicts sudden death.
A 24-year-old soldier suffered a cardiac arrest while shopping. Ventricular fibrillation was diagnosed and sinus rhythm restored with an external DC cardioversion. A 12-lead ECG confirmed sinus rhythm with evidence of ventricular pre-excitation (see Figure 1). Inpatient investigations including serum biochemistry, serum troponin, echocardiography and cardiac magnetic resonance scans revealed no abnormality. A diagnostic electrophysiological study confirmed a rapidly conducting (refractory period 340 msec) left …
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Frontera et al. (2013) conducted a case report in Cardiac arrest, Wolff-Parkinson-White syndrome, early repolarisation (n=1). External DC cardioversion was evaluated. A 24-year-old soldier with Wolff-Parkinson-White syndrome and early repolarisation survived a cardiac arrest due to ventricular fibrillation after external DC cardioversion.
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